A Rare Case of Allergic Stomatitis Due to the Consumption of Boiled Cassava

IF 3.7 3区医学 Q2 ALLERGY

Journal of Asthma and Allergy Pub Date : 2024-09-12 DOI:10.2147/jaa.s455749

Yuliana, Dewi Zakiawati

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引用次数: 0

Abstract

Introduction: Allergic stomatitis is an oral inflammatory disorder characterized by a painful, burning sensation, or itchiness in the oral cavity which clinically appears as erythematous plaques, vesiculation, ulceration, and/or hyperkeratosis. The causative agents include drugs, dental materials, and food ingredients. Allergic stomatitis might develop after a person eats, touches, or inhales food allergen which then triggers the hypersensitivity reaction. The most common types of food hypersensitivity generally involve type 1 and type 4 reactions or a combination of both.
Purpose: This case report aims to discuss a case of allergic stomatitis caused by one of the staple food ingredients in Indonesia: cassava.
Case: A 26-year-old woman came with complaints of burning pain from multiple ulcers on her right inner cheek. The ulcers appeared shortly after the patient ate boiled cassava, extending to the soft palate and causing pain when swallowing food. The patient has a history of asthma.
Case Management: The patient was referred for a total IgE examination with a result of 271.41 KIU/L (normal < 150 KIU/L). She was prescribed an antiseptic mouthwash and topical corticosteroids for palliative therapy. Additionally, multivitamins were also prescribed to speed up the healing process.
Conclusion: Allergic stomatitis can be caused by food ingredients, even those considered healthy or non-allergenic. A complete anamnesis, including the patient’s food history, along with supporting examinations, must be carried out to confirm the diagnosis and select appropriate therapy.

Keywords: allergies, allergic stomatitis, hypersensitivity, cassava

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食用煮木薯引发过敏性口炎的罕见病例

简介过敏性口腔炎是一种口腔炎症性疾病，以口腔疼痛、烧灼感或瘙痒为特征，临床表现为红斑、糜烂、溃疡和/或角化过度。致病因素包括药物、牙科材料和食物成分。过敏性口腔炎可能是由于患者吃了、接触了或吸入了食物过敏原而引发的超敏反应。最常见的食物过敏类型一般包括 1 型和 4 型反应或两者的结合。目的：本病例报告旨在讨论一例由印度尼西亚的主食成分之一木薯引起的过敏性口腔炎：一名 26 岁的女性前来就诊，主诉其右脸颊内侧多处溃疡引起灼痛。溃疡是在患者吃了煮熟的木薯后不久出现的，一直延伸到软腭，吞咽食物时会感到疼痛。患者有哮喘病史：患者接受了总 IgE 检查，结果为 271.41 KIU/L（正常值为 150 KIU/L）。医生给她开了消毒漱口水和局部皮质类固醇激素作为缓解治疗。此外，她还服用了多种维生素，以加快伤口愈合：结论：过敏性口腔炎可由食物成分引起，即使是那些被认为是健康或非过敏性的食物成分。必须进行全面的病史分析，包括患者的食物史，并进行辅助检查，以确诊并选择适当的治疗方法。关键词：过敏；过敏性口腔炎；过敏性体质；木薯

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来源期刊

Journal of Asthma and Allergy Medicine-Immunology and Allergy

CiteScore

5.30

自引率

6.20%

发文量

185

审稿时长

16 weeks

期刊介绍： An international, peer-reviewed journal publishing original research, reports, editorials and commentaries on the following topics: Asthma; Pulmonary physiology; Asthma related clinical health; Clinical immunology and the immunological basis of disease; Pharmacological interventions and new therapies. Although the main focus of the journal will be to publish research and clinical results in humans, preclinical, animal and in vitro studies will be published where they shed light on disease processes and potential new therapies.