Anaphylaxis following mushrooms ingestion

Dae-Hong Seo; Young-Soo Lee; Ga-Young Ban; Moon-Gyung Yoon; Ji-Hye Kim; Yoo-Seob Shin; Hae-Sim Park; Young-Min Ye

doi:10.4168/aard.2015.3.1.82

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Seo, Lee, Ban, Yoon, Kim, Shin, Park, and Ye: Anaphylaxis following mushrooms ingestion

Case Report

Allergy, Asthma & Respiratory Disease 2015; 3(1): 82-85.

Published online: 31 January 2015

DOI: https://doi.org/10.4168/aard.2015.3.1.82

Anaphylaxis following mushrooms ingestion

Dae-Hong Seo, Young-Soo Lee, Ga-Young Ban, Moon-Gyung Yoon, Ji-Hye Kim, Yoo-Seob Shin, Hae-Sim Park, Young-Min Ye

Department of Allergy & Clinical Immunology, Ajou University School of Medicine, Suwon, Korea.

Correspondence to: Young-Min Ye. Department of Allergy & Clinical Immunology, Ajou University School of Medicine, 164 World cup-ro, Yeongtong-gu, Suwon 443-380, Korea. Tel: +82-31-219-4262, Fax: +82-31-219-5109, ye9007@ajou.ac.kr

Received 21 July 2014 Revised 6 September 2014 Accepted 16 September 2014

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/).

Abstract

Various foods can induce anaphylaxis. However, mushrooms-induced anaphylaxis has not been reported in Korea. We report a patient with past anaphylactic episode caused by mushroom ingestion, confirmed by the skin test and specific IgE antibody to mushrooms. A 17-year-old girl with asthma was referred to our department due to itchy throat, dyspnea, and urticaria within 10 minutes after ingestion of a soup containing Oyster mushrooms. She presented an itching throat after ingestion of cooked mushrooms 3 years before the visit. She had an elevated serum IgE level (205 kU/L) and was sensitized to house dust mites. Skin prick tests with mushroom extracts showed a strong positive on Oyster and King Oyster mushrooms as well as Pyogo mushroom. The specific IgE antibody to each mushroom measured by enzyme-linked immunosorbent assay showed significant positive results to Oyster and Pyogo mushroom extracts, but was negative on King Oyster mushroom. We educated her to avoid eating Oyster and Pyogo mushrooms for preventing recurrence, whereas we couldn't perform oral challenge tests.

Keywords: Anaphylaxis, Mushroom, Skin test, Specific IgE

Figures and Tables

Fig. 1

The result of skin prick test to each extract of mushrooms.

Fig. 2

The result of enzyme linked immunosorbent assay to detect specific IgE antibodies to Oyster mushroom (Pleurotus) and Pyogo mushroom (Lentinula edodes) in the sera from the patient and 20 normal controls (NCs).

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