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Anaphylactic shock and lethal anaphylaxis caused by food consumption in China.pdf

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Anaphylactic shock and lethal anaphylaxis caused by food consumption in China

Trends in Food Science Technology 20 (2009) 227e231Viewpoint* Corresponding author. 0924-2244/$ - see front matter 2009 Elsevier Ltd. All rights reserved. doi:10.1016/j.tifs.2009.02.004Anaphylactic shock and lethal anaphylaxis caused by food consumption in China Kunmei Jia, Jiajie Chena, Meng Lia, Zhigang Liua,*, Chunbo Wanga, Zhengke Zhana, Xuli Wua and Qingyou Xiab aAllergy and Immunology Institute, Medical School, Shenzhen University, Nanhai Ave 3688 Shenzhen city, Guangdong, PR China 518060 (Tel.: D86 755 2653 5077; fax: D86 755 2653 5065; e-mail: lzg@szu.edu.cn) bInstitute of Sericulture and Systems Biology, Southwest University, Chongqing, PR ChinaA review of case reports of anaphylactic shock and lethal ana- phylaxis caused by food consumption occurring in China was conducted. Case reports published in Chinese medical jour- nals from 1980 to 2007 were considered in the review. According to these reports, the most common allergenic offenders were pineapple, soft-shelled turtle and crab. Anaphylaxis is a life-threatening allergic reaction, and food is one of the most common responsible allergens in the outpatient setting (Wang Sampson, 2007). As the Chinese economy develops, people in China are consuming an increasing quantity and variety of foods. This has been accompanied by an increase in food allergy incidents, which not only affect the quality of daily life but may be life threat- ening (Moneret-Vautrin, Morisset, Flabbee, Beaudouin, Kanny, 2005). We have collected all 141 articles about severe anaphylaxis published in medical journals in Chinafrom 1980 to 2007. These articles reported 358 episodes of anaphylactic shock and six deaths from anaphylaxis caused by food ingestion (Cao, Deng, Chen, 1985; Ding, 2001; Ji, Zhan, Chen, Liu, 2008; Lin, 2000; Zheng Huang, 1982; Zhou, Pan, Wang, 2005). All these cases were diag- nosed by post-skin testing or food allergy history and the patients showed typical clinical symptoms of anaphylactic shock such as a