Occupational allergy caused by Peruvian lily (Alstroemeria)

Occupational allergy caused by Peruvian lily (Alstroemeria)
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DOI:
10.1016/s1081-1206(10)61897-2
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发表时间:
2002-06-01
影响因子:
5.9
通讯作者:
Oppenheimer, JJ
Oppenheimer, JJ
中科院分区:
医学2区
文献类型:
--
作者:
Chan, RYC;Oppenheimer, JJ

文献摘要

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背景:六出花引起的过敏性接触性皮炎已有充分记录;然而,文献中从未报道过对这种装饰花的职业性过敏。 目的:我们描述了一名花店主诉因处理这种受欢迎的花而出现的喉咙发紧感、过敏性鼻结膜炎、荨麻疹和面部血管性水肿。方法:通过穿刺技术进行皮肤过敏测试,并在私人办公室进行激发测试。一名工作人员被用作皮肤测试的对照。主要结果指标是受试者的临床症状。结果:皮肤过敏测试显示,对六出花(秘鲁百合)有阳性反应,但对观星百合、一枝黄花和少数其他花卉提取物呈阴性反应。在挑战测试中,受试者出现结膜充血、鼻后滴漏并伴有鼻塞和咳嗽。结论:这是对六出花的 I 型过敏反应的第一份报告,并说明了在办公室进行皮肤测试和对开花植物的挑战的容易程度。
Background: Allergic contact dermatitis to Alstroemeria has been well documented; however, occupational allergy to this decorative flower has never been reported in the literature.Objective: We describe a florist with complaints of a sense of throat tightness, allergic rhinoconjunctivitis, urticaria, and facial angioedema attributable to the handling of this popular flower.Methods: An allergy skin testing by the puncture technique and a challenge test are performed in a private office. A staff member is used as a control for the skin testing. Main outcome measures are the subject's clinical symptoms.Results: The allergy skin testing reveals positive response to Alstroemeria (Peruvian lily), but negative to Stargazer lily, solidago, and few other flower extracts. In the challenge test, the subject develops conjunctival injection, postnasal drip with nasal congestion, and cough.Conclusions: This is the first report of a type I allergic reaction to Alstroemeria and illustrate the ease of in-office performance of skin testing and challenge to flowering plants.