Document Type : case report

Authors

Department of Allergy, Inflammation and Asthma, 1st Pediatric Clinic University of Athens, Greece.

Abstract

Febrile episodes accompanied by convulsions are a common pediatric condition. We present the clinical history and laboratory evaluation of a 2.5-year-old boy with a concomitant food allergy to cashew who experienced convulsions during a febrile episode after consuming cashews.  Differential diagnosis was challenging, as was identifying of the culprit food. A food challenge confirmed an allergy to cashew tree nuts.

Keywords

  1. Muraro A, Werfel T, Hoffmann‐Sommergruber K, Roberts G, Beyer K, Bindslev‐Jensen C, et al. EAACI food allergy and anaphylaxis guidelines: diagnosis and management of food allergy. Allergy. 2014 Aug;69(8):1008-25.
  2. Lieberman P, Nicklas RA, Randolph C, Oppenheimer J, Bernstein D, Bernstein J, et al. Anaphylaxis—a practice parameter update 2015. Annals of Allergy, Asthma & Immunology. 2015 Nov 1;115(5):341-84.
  3. Andorf S, Borres MP, Block W, Tupa D, Bollyky JB, Sampath V, et al. Association of clinical reactivity with sensitization to allergen components in multifood-allergic children. The journal of allergy and clinical immunology: in practice. 2017 Sep 1;5(5):1325-34.
  4. Waserman S, Watson W. Food allergy. Allergy, Asthma & Clinical Immunology. 2011 Nov 10;7(Suppl 1):S7.
  5. Van Winkle RC, Chang C. The biochemical basis and clinical evidence of food allergy due to lipid transfer proteins: a comprehensive review. Clinical reviews in allergy & immunology. 2014 Jun;46(3):211-24.
  6. Asero R, Pravettoni V. Anaphylaxis to plant-foods and pollen allergens in patients with lipid transfer protein syndrome. Current opinion in allergy and clinical immunology. 2013 Aug 1;13(4):379-85.