Silk contact anaphylaxis

Silk, which is obtained from the cocoon of the silkworm, is a recognized cause of occupational asthma in silk-industry workers (1). Allergic rhinitis and asthma caused by silk have also been reported in children in China, in the absence of occupational exposure (2). However, allergy to silk in clothing is rare, as silk threads to be used for fabrics are subjected to several processes that remove allergenic proteins. Fibroin, the structural protein of silk, is considered to have a low allergenic potential.