Mango contact allergy.
Mango contact allergy.
复制标题
芒果接触过敏。
DOI：
10.1111/j.1708-8305.2010.00420.x
复制
发表时间：
2010
影响因子：
25.7
通讯作者：
Meuli,GuthrieJ
中科院分区：
文献类型：
--
作者：
Trehan,Indi;Meuli,GuthrieJ
马拉维一名以前健康的25岁非政府组织志愿人员出现了双唇急性肿胀和下唇内侧的“唇疱疹”，面部和耳朵出现了一些轻微的片状红斑。他报告没有发烧或疼痛，但注意到嘴唇有些刺痛和全身不适。他否认有任何新的亲密伴侣、食物或其他接触。患者报告既往无症状性单纯疱疹病毒感染史。他唯一重要的病史包括两次毒橡树皮炎发作。他开始经验性地服用苯海拉明，随后服用阿昔洛韦，但没有改善。复查时，发现患者出现唇炎和面部血管性水肿（图1）。嘴唇水肿，糜烂，弥漫性肿胀，主要在左侧。他的左脸也出现了一个肿胀的、不发白的、带有皮下水肿的湿疹样皮疹，从嘴唇向上延伸到脸颊和鼻子，一直延伸到眼眶和前额。左侧眶周水肿伴上睑下垂也很明显。他否认有任何舌头肿胀，说话、呼吸或吞咽都没有困难。
A previously healthy 25-year-old nongovernmental organization volunteer in Malawi developed acute swelling of both lips and a “cold sore” on the inner aspect of the lower lip and some mild patchy erythema to his face and ears. He reported no fever or pain, but did notice some tingling of the lips and general malaise. He denied any new intimate partners, foods, or other exposures. The patient reported no history of previous symptomatic herpes simplex virus infection. His only significant medical history consisted of two episodes of poison oak dermatitis. He was begun empirically on diphenhydramine and subsequently on acyclovir without improvement.Upon reexamination, the patient was noted to have developed cheilitis and angioedema of the face (Figure 1). The lips were edematous, eroded, and diffusely erythematous, predominantly on the left. An erythematous, nonblanching, pruritic rash with subcutaneous edema also had spread over his left face, extending up from his lips over his cheeks and nose and up to his orbits and forehead. Periorbital edema with ptosis was also apparent on the left side. He denied any tongue swelling and had no difficulty with speech, breathing, or swallowing.