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Baker's asthma in a child.

Authors :
Alonso E
Ausín A
Elices A
Moreno-Escobosa M
Ibáñez M
Laso M
Source :
Allergologia et immunopathologia [Allergol Immunopathol (Madr)] 2001 Jul-Aug; Vol. 29 (4), pp. 141-3.
Publication Year :
2001

Abstract

Background: baker's asthma is a well-known occupational lung disease which usually develops in adults. We report the case of a two years old boy who suffered from asthma, urticaria and atopic dermatitis for twelve months, whose symptoms were associated to visits to his grandfather's bakery.<br />Methods and Results: skin prick tests (SPT) were made to dust mites, moulds, flours, alfa-amylase and egg. It was also determined total IgE and specific IgE antibodies to alfa-amylase and flours. Subsequently, a challenge test was carried out with wheat flour. The SPTs were positive to flours, alfa-amylase and egg. The determination of specific IgE antibodies showed 2.64 kU/L to wheat, 0.79 kU/L to glyadin and 2.98 kU/L to alfa-amylase. The patient developed asthma and rhinitis after manipulating wheat flour for 10 min.<br />Conclusions: we demonstrated a type I hypersensitivity to wheat flour and alfa-amylase in a two years old child by SPT, specific IgE antibodies and challenge test. This case in the childhood equivalent of occupational baker's asthma.

Details

Language :
English
ISSN :
0301-0546
Volume :
29
Issue :
4
Database :
MEDLINE
Journal :
Allergologia et immunopathologia
Publication Type :
Academic Journal
Accession number :
11674929
Full Text :
https://doi.org/10.1016/s0301-0546(01)79048-9