Article

Caraway seed-induced anaphylaxis: A case report

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Abstract

Patients with food allergy are at great risk of anaphylaxis reaching 30%. Anaphylaxis is not always easy to recognize clinically. It may be mild and may disappear spontaneously or it may be severe and progress within minutes to respiratory or cardiovascular compromise and death. Intramuscular epinephrine is an established first-line therapy for anaphylaxis, in hospital and in the community, and should be given as soon as the condition is recognized. There are no absolute contraindications to administering epinephrine in patients with life-threatening anaphylaxis. Absolute indications for prescribing self-injectable epinephrine are prior cardiorespiratory reactions, exercise-induced anaphylaxis, idiopathic anaphylaxis and persistent asthma with food allergy. This case report shows severe anaphylaxis caused by curry spice containing caraway seeds in a 17-year-old girl with a multiple food allergy and uncontrolled bronchial asthma.

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