Allergy Asthma Immunol Res.  2015 Jan;7(1):95-97. 10.4168/aair.2015.7.1.95.

A Case of Anaphylaxis Induced by Contact with Young Radish (Raphanus sativus L)

• Lee YH
• Lee JH
• Kang HR
• Ha JH
• Lee BH
• Kim SH

• KMID: 2260159
• DOI: http://doi.org/10.4168/aair.2015.7.1.95

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.

Keyword

Anaphylaxis; food hypersensitivity; Raphanus; skin test

MeSH Terms

Adult
Anaphylaxis*
Dizziness
Emergency Service, Hospital
Epinephrine
Female
Food Hypersensitivity
Humans
Hypersensitivity
Hypersensitivity, Immediate
Middle Aged
Mustard Plant
Pruritus
Raphanus*
Skin
Skin Tests
Urticaria
Vegetables
Epinephrine

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