We present the case of a 33-year-old nonatopic woman with multiple episodes of anaphylaxis after ingestion of different fruits. The fruits implicated were apple, banana and lychee: all of which belong to different and...We present the case of a 33-year-old nonatopic woman with multiple episodes of anaphylaxis after ingestion of different fruits. The fruits implicated were apple, banana and lychee: all of which belong to different and botanically disparate plant families. The reaction to apple and banana was confirmed by prick testing. There was no history of allergy to other agents that are known to have cross reactions with fruits, viz. latex or pollen. As such patients often do not present to dermatologists, we wish to highlight the rare but potentially fatal clinical entity of type I allergy to fruits without concomitant allergy to other common airborne/contact allergens. We also discuss the possible explanation of type I reaction to apparently unrelated fruits and the allergens involved in such reactions.展开更多
Dowling-Degos disease is a rare autosomal dominant inherited pigmentary disorder characterized by reticulate pigmentation of the flexures, prominent comedone like lesions and pitted scars. Dyschromatosis universalis h...Dowling-Degos disease is a rare autosomal dominant inherited pigmentary disorder characterized by reticulate pigmentation of the flexures, prominent comedone like lesions and pitted scars. Dyschromatosis universalis hereditaria is characterized by the presence of hypopigmented as well as hyperpigmented macules. We report a family showing features of both these diseases.展开更多
文摘We present the case of a 33-year-old nonatopic woman with multiple episodes of anaphylaxis after ingestion of different fruits. The fruits implicated were apple, banana and lychee: all of which belong to different and botanically disparate plant families. The reaction to apple and banana was confirmed by prick testing. There was no history of allergy to other agents that are known to have cross reactions with fruits, viz. latex or pollen. As such patients often do not present to dermatologists, we wish to highlight the rare but potentially fatal clinical entity of type I allergy to fruits without concomitant allergy to other common airborne/contact allergens. We also discuss the possible explanation of type I reaction to apparently unrelated fruits and the allergens involved in such reactions.
文摘Dowling-Degos disease is a rare autosomal dominant inherited pigmentary disorder characterized by reticulate pigmentation of the flexures, prominent comedone like lesions and pitted scars. Dyschromatosis universalis hereditaria is characterized by the presence of hypopigmented as well as hyperpigmented macules. We report a family showing features of both these diseases.