Fatal nut anaphylaxis in a 16-year-old male: case report.
A case of fatal nut anaphylaxis in a 16-year-old atopic, steroid-dependent asthmatic male is reviewed. He had large positive skin tests (scratch) to walnuts and peanuts. Serum was positive for specific IgE antibody measured by solid-phase radioimmunoassay to pecans. The importance of the immediate use of epinephrine is emphasized. Accidental ingestion of foods to which patients are sensitive is a common error for which patients must be prepared with preloaded epinephrine syringes.
Boyd
G K
GK
Brown University Program in Medicine, Providence, RI.
D000707:Anaphylaxis / Q000209:etiology* / Q000276:immunology; D002648:Child; D005512:Food Hypersensitivity / Q000276:immunology*; D006801:Humans; D008297:Male; D009754:Nuts / Q000009:adverse effects*; D012882:Skin Tests