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논문 기본 정보
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- 대한천식알레르기학회(구 대한알레르기학회) Allergy, Asthma & Immunology Research Allergy, Asthma & Immunology Research Vol.7 No.1
- 발행연도
- 2015.1
- 수록면
- 92 - 94 (3page)
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ducA novel delayed anaphylactic reaction to red meat, associated with tick bites and IgE antibodies against galactose-α-1, 3-galactose (α-gal), was reported in 2009 in the US, Australia and Europe. In this case, serum specific IgE to galactose-α-1, 3-galactose (>100 kU/L) and IgE to multiple non-primate mammalian proteins were positive. However, the pathogenesis of this disease remains unclear. We report the first case in Asia of delayed anaphylactic reaction to red meat, which was induced by bites from the hard tick, Hematophagous ixodidae. We confirmed the increased concentration of IgE reactive epitopes in non-primate mammalian organs, which may be rich in α-gal proteins in lymphatic and endothelial tissues. All confirmed ticks associated with this disorder in the literature and in our case belonged to the hard tick family. We hypothesize that hard tick saliva is enriched with blood-type substances, such as oligosaccharides, from the non-primate mammal victim’s blood after days to weeks of blood sucking, which sensitizes humans through the injection route while blood sucking.
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참고문헌 (9)
참고문헌 신청
Commins SP / 2009 / Delayed anaphylaxis, angioedema, or urticaria after consumption of red meat in patients with IgE antibodies specific for galactose-alpha-1,3-galactose / J Allergy Clin Immunol 123:426~433
Van Nunen SA / 2009 / An association between tick bite reactions and red meat allergy in humans. Med J Aust / Med J Aust 190:510~511
Jacquenet S / 2009 / Mammalian meat-induced anaphylaxis: clinical relevance of anti-galactose-alpha-1,3-galactose IgE confirmed by means of skin tests to cetuximab / J Allergy Clin Immunol 124:603~605
Morisset M / 2012 / Anaphylaxis to pork kidney is related to IgE antibodies specific for galactose-alpha-1,3-galactose / Allergy 67:699~704
Spiro RG / 1984 / Occurrence of alpha-D-galactosyl residues in the thyroglobulins from several species. Localization in the saccharide chains of the complex carbohydrate units / J Biol Chem 259:9858~9866
Van Nunen SA / 2009 / An association between tick bite reactions and red meat allergy in humans. Med J Aust / Med J Aust 190:510~511
Jacquenet S / 2009 / Mammalian meat-induced anaphylaxis: clinical relevance of anti-galactose-alpha-1,3-galactose IgE confirmed by means of skin tests to cetuximab / J Allergy Clin Immunol 124:603~605
Morisset M / 2012 / Anaphylaxis to pork kidney is related to IgE antibodies specific for galactose-alpha-1,3-galactose / Allergy 67:699~704
Spiro RG / 1984 / Occurrence of alpha-D-galactosyl residues in the thyroglobulins from several species. Localization in the saccharide chains of the complex carbohydrate units / J Biol Chem 259:9858~9866
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