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Ingestive and inhalative allergy to the mushroom Boletus edulis
Author(s) -
Torricelli R.,
Johansson S. G. O.,
Wiithrich B.
Publication year - 1997
Publication title -
allergy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.363
H-Index - 173
eISSN - 1398-9995
pISSN - 0105-4538
DOI - 10.1111/j.1398-9995.1997.tb01232.x
Subject(s) - allergy , boletus , medicine , mushroom , food allergy , agaricus bisporus , dermatology , oral allergy syndrome , edible mushroom , immunoglobulin e , food science , immunology , biology , antibody
This is the first report on inhalative and ingestive allergy to the common edible mushroom Boletus edulis ( Be ) (English, edible boletus ; German, Steinpilz, French, bolet ; Italian, porcino or boleto ) belonging to the class Basidiomycetes. Four cases observed in our allergy unit are presented, showing different clinical manifestations of this rare allergy: as an occupational problem or life‐threatening anaphylactic reactions after eating Be. In all cases, skin prick‐to‐prick tests with raw Be were strongly positive; in three cases, specific IgE against Be could be found. The symptoms were reproducible after an inhalation challenge test. It is noteworthy that not only can Basidiomycetes cause airborne allergy but also that edible mushrooms from this class can cause inhalative and intestinal allergy. The two patients with strong anaphylactic reactions demonstrate that Be may have great allergenic potential.