Table 3. Clinical features of the three patients with citrus fruit allergy.
PATIENT DATA | Patient | 1 | 2 | 3 |
Sex | F | M | M | |
Age yrs | 20 | 20 | 12 | |
Respiratory disease (A/RC) | A, RC | A, RC | RC | |
Symptoms with citrus fruits | Urticaria Vomiting (Orange) | OAS (Orange) | Abdominal pain Diarrhoea (clementine) | |
Food Allergy/ OAS to other foods | apple, nuts, tomato | kiwy, melon, strawberry | kiwy | |
PRICK-TO-PRICK WITH FRUIT PULP Mean wheal diameter (mm) | Orange | 7 | 4 | 0 |
Clementine | 6 | 3 | 3 | |
Lemon | 6 | 0 | 0 | |
SPECIFIC IGE (KU/L) | Orange | 39.2 | <0.10 | 4.3 |
Wheat | 14.3 | <0.10 | 6.5 | |
Apple | 45.7 | <0.10 | 24.4 | |
Peanut | 47.8 | <0.10 | 13.1 | |
Phleum p. | 87.8 | 14.3 | 83.9 | |
Olea e. | 56.8 | 0.8 | 33.3 | |
Betula v. | >100 | <0.10 | 57.3 | |
Corylus a. | 92.7 | 0.4 | 59 | |
r Phl p 1 | 41 | 15.1 | 71.2 | |
r Phl p 12 | 34.2 | 0.31 | 4 | |
r Bet v 2 | 47 | <0.10 | 7.1 | |
r Pru p 3 | 19.7 | <0.10 | 16.6 | |
MuxF3-CCD | 1.23 | <0.10 | 0.74 |
Patient data, results of prick-to-prick (PPT) with fresh citrus fruit pulp and specific IgE (sIgE) against the main pollens, (Phleum p., Olea e., Betula v., Corylus a.), fruit extracts (orange, apple, peanut, wheat), recombinant allergens (rPhl p 1, rPhl p 12, rBet v 2, rPru p 3) and MuxF3-CCD.
A: Asthma; OAS: oral allergy syndrome; RC: rhino-conjunctivitis; yrs: years.