ÇOCUKLARDA ANAFİLAKSİNİN NADİR BİR SEBEBİ: TAVUK ETİ ALERJİSİ

Yıl 2024, Cilt: 26 Sayı: 3, 377 - 380, 24.12.2024

Gökçe Mergan Çetiner , Şule Toprak , Dilek Azkur

Öz

Tavuk eti, dünya genelinde yaygın olarak tüketilen bir besin olmasıyla birlikte, nadir durumlarda IgE aracılı alerjik reaksiyonlara ve anafilaksiye yol açabilir. Tavuk eti alerjisi, doğrudan birincil bir alerji olabileceği gibi, yumurta-kuş sendromu veya balık-tavuk sendromu gibi çapraz reaksiyonlara bağlı ikincil bir alerji olarak da ortaya çıkabilir. Bu makalede, birincil tavuk eti alerjisine bağlı tekrarlayan anjiyoödem ve anafilaksi öyküsü olan 17 yaşında bir adolesan olgu sunulmaktadır. Olgunun öyküsünden son dört yıldır tekrarlayan ajiyoödeminin olduğu, tavuk eti tüketimi sonrası dudaklarda şişlik, kızarıklık, nefes darlığı ve karın ağrısı gibi semptomlar ile acil servise başvurusu olduğu öğrenilmiştir. Diğer besinlerle semptom tariflemeyen hastanın deri prik testinde tavuk eti, hindi eti ve kedi tüyüne duyarlılık saptanmış, ancak yumurta veya balık alerjisi bulunmamıştır. Klinik ve laboratuvar değerlendirmeler sonucunda, tavuk etine bağlı birincil alerji tanısı konulmuş ve hastaya çapraz reaksiyon riski nedeniyle tavuk eti ve diğer kümes hayvanlarının etlerini tüketmemesi önerilmiştir. Sonuç olarak, birincil tavuk eti alerjisi nadir görülen bir durum olsa da tekrarlayan anjiyoödem ve anafilaksi vakalarında tavuk etinin olası bir tetikleyici olduğu göz önünde bulundurulmalıdır.

Anahtar Kelimeler

Anafilaksi, anjiyoödem, çocuk, tavuk eti

A Rare Cause of Anaphylaxis in Children: Chicken Meat Allergy

Öz

Chicken meat, while being a widely consumed food globally, can rarely cause IgE-mediated allergic reactions and anaphylaxis. Chicken meat allergy may manifest as a primary or secondary allergy due to cross-reactions, such as in egg-bird syndrome or fish-chicken syndrome. This study presents the case of a 17-year-old adolescent with a history of recurrent angioedema and anaphylaxis due to primary chicken meat allergy. The patient's history revealed recurrent angioedema over the past four years, with emergency department visits following chicken meat consumption due to symptoms such as lip swelling, redness, shortness of breath, and abdominal pain. The patient, who did not report symptoms with other foods, was found to have sensitization to chicken meat, turkey meat, and cat dander in skin prick tests, but no allergy to eggs or fish. Based on clinical and laboratory evaluations, a diagnosis of primary chicken meat allergy was established, and the patient was advised to avoid consuming chicken meat and other poultry due to the risk of cross-reactivity. In conclusion, although primary chicken meat allergy is rare, it should be considered a potential trigger in cases of recurrent angioedema and anaphylaxis.

Anahtar Kelimeler

Anaphylaxis, angioedema, child, chicken meat

Kaynakça

• Ballardini N, Nopp A, Hamsten C, et al. Anaphylactic reactions to novel foods: Case report of a child with severe crocodile meat allergy. Pediatrics. 2017;139(4):e20161404.
• Fuc E, Zlotkowska D, Wasilewska E, Wroblewska B. OVA-Experienced CD4(+) T cell transfer and chicken protein challenge affect the immune response to OVA in a murine model. Int J Mol Sci. 2021;22(12):6573.
• Can C, Yazicioglu M, Ciplak G. Chicken meat anaphylaxis in a child with no allergies to eggs or feathers. Iran J Pediatr. 2014;24(6):786-787.
• Wanniang N, Codreanu-Morel F, Kuehn A, Morisset M. Poultry meat allergy: A review of allergens and clinical phenotypes. Curr Treat Options Allergy. 2022;9(3):187- 203.
• Guiddir T, Senechal H, Selva MA, et al. Chicken meat allergy in children: Complex sensitization profiles with newly described allergen candidates. Allergy. 2024;79(8):2262-2266.
• Hemmer W, Klug C, Swoboda I. Update on the bird-egg syndrome and genuine poultry meat allergy. Allergo J Int. 2016;25:68-75.
• Quirce S, Maranon F, Umpierrez A, de las Heras M, Fernandez-Caldas E, Sastre J. Chicken serum albumin (Gal d 5*) is a partially heat-labile inhalant and food allergen implicated in the bird-egg syndrome. Allergy. 2001;56(8):754-762.
• Kuehn A, Codreanu-Morel F, Lehners-Weber C, et al. Cross-reactivity to fish and chicken meat-a new clinical syndrome. Allergy. 2016;71(12):1772-1781.
• Tsuge M, Ikeda M, Mitani O, Yasui M, Tsukahara H. Anaphylaxis after jellyfish ingestion with no history of stings: A pediatric case report. Allergy Asthma Clin Immunol. 2021;26;17(1):99.
• Witkowski M, Grajeta H, Gomulka K. Hypersensitivity reactions to food additives-preservatives, antioxidants, flavor enhancers. Int J Environ Res Public Health. 2022;19(18):11493.
• Vassilopoulou E, Venter C, Roth-Walter F. Malnutrition and allergies: Tipping the immune balance towards health. J Clin Med. 2024;13(16):4713.