Abstract
Dried thyme, black pepper and honey are widely used worldwide. However, systemic allergic reactions to these substances are rarely reported. Here we report a 45-year-old case with multiple severe anaphylaxis to thyme, black pepper, honey and wasp, that occurred at different times. Her reactions to thyme, black pepper and wasp were IgE-mediated as confirmed with skin prick tests and/or serology. It was not possible to determine the underlying etiology of her honey allergy. Still, with her history and the risk of systemic reactions with bee secretions and/or pollen protein content of honey, she was advised not to consume any traces of the causative foods and informed about bee avoidance.
Highlights
We report a case with IgE-mediated anaphylaxis due to thyme (Thymus vulgaris), black pepper (Piper nigrum) and wasp (Vespula vulgaris), and possible pollinator and/ or pollen protein-induced anaphylaxis due to honey
Dried thyme and black pepper are widely used as spice and seasoning
Black pepper and bee venom were proven to be IgE related by skin rests and/or specific IgE levels
Summary
We report a case with IgE-mediated anaphylaxis due to thyme (Thymus vulgaris), black pepper (Piper nigrum) and wasp (Vespula vulgaris), and possible pollinator and/ or pollen protein-induced anaphylaxis due to honey.CASE PRESENTATIONA 45-year-old female patient was referred to our clinic with history of recurrent anaphylaxis that had last occurred about a year ago. We report a 45-year-old case with multiple severe anaphylaxis to thyme, black pepper, honey and wasp, that occurred at different times. Black pepper and wasp were IgE-mediated as confirmed with skin prick tests and/or serology.
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