title: A Case of Anaphylaxis Induced by Contact with Young Radish (Raphanus sativus L).
abstract: Young radish (Raphanus sativus L), a member of the mustard family (Cruciferae), is a common ingredient of Kimchi. Although few reports have described anaphylaxis to cruciferous vegetables, we report the case of anaphylaxis induced by contact with young radish. A 46-year-old female with a history of contact allergy to metal presented to our emergency room (ER) with dizziness, generalized eruption and gastrointestinal upset. Her symptoms developed after re-exposure to young radish while chopping it. Hypotensive blood pressures were noted. Three days prior, the patient had experienced generalized urticaria with pruritus immediately after chopping the fresh young radish, which resolved spontaneously. In the ER, her symptoms improved by the administration of epinephrine (0.3 mL), antihistamine (chlorpheniramine) and isotonic saline hydration. A skin prick test with young radish extract showed positive reactivity. The same skin test was negative in five adult controls. IgE-mediated hypersensitivity could be an important immunologic mechanism in the development of young radish-induced anaphylaxis.
authors.affiliation: Department of Internal Medicine, Eulji Hospital, Seoul, Korea.
authors.forename: Yung-Hee
authors.initials: YH
authors.lastname: Lee
authors.affiliation: Department of Internal Medicine, Eulji Hospital, Seoul, Korea. ; Department of Internal Medicine, Eulji University School of Medicine, Daejeon, Korea.
authors.forename: Jae-Hyoung
authors.initials: JH
authors.lastname: Lee
authors.affiliation: Department of Internal Medicine, Eulji Hospital, Seoul, Korea.
authors.forename: Hye-Ran
authors.initials: HR
authors.lastname: Kang
authors.affiliation: Department of Internal Medicine, Eulji Hospital, Seoul, Korea.
authors.forename: Jung-Hoon
authors.initials: JH
authors.lastname: Ha
authors.affiliation: Department of Internal Medicine, Eulji Hospital, Seoul, Korea. ; Department of Internal Medicine, Eulji University School of Medicine, Daejeon, Korea.
authors.forename: Byoung-Hoon
authors.initials: BH
authors.lastname: Lee
authors.affiliation: Department of Internal Medicine, Eulji Hospital, Seoul, Korea. ; Department of Internal Medicine, Eulji University School of Medicine, Daejeon, Korea.
authors.forename: Sang-Hoon
authors.initials: SH
authors.lastname: Kim
keywords: Anaphylaxis; Raphanus; food hypersensitivity; skin test