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CLC number: R392.8

On-line Access: 2012-06-29

Received: 2012-05-21

Revision Accepted: 2012-09-03

Crosschecked: 2012-09-19

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Journal of Zhejiang University SCIENCE B 2012 Vol.13 No.10 P.851-854

10.1631/jzus.B1200150


Anaphylaxis and generalized urticaria from eating Chinese bayberry fruit


Author(s):  Hui-ying Wang, Zhong-shan Gao, Zhao-wei Yang, Jing-xin Shao, Xiu-zhen Zhao, Yu Dai, Ronald van Ree

Affiliation(s):  Department of Allergy and Clinical Immunology, the Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310013, China; more

Corresponding email(s):   gaozhongshan@zju.edu.cn

Key Words:  Chinese bayberry, Fruit allergy, Anaphylaxis


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Hui-ying Wang, Zhong-shan Gao, Zhao-wei Yang, Jing-xin Shao, Xiu-zhen Zhao, Yu Dai, Ronald van Ree. Anaphylaxis and generalized urticaria from eating Chinese bayberry fruit[J]. Journal of Zhejiang University Science B, 2012, 13(10): 851-854.

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author="Hui-ying Wang, Zhong-shan Gao, Zhao-wei Yang, Jing-xin Shao, Xiu-zhen Zhao, Yu Dai, Ronald van Ree",
journal="Journal of Zhejiang University Science B",
volume="13",
number="10",
pages="851-854",
year="2012",
publisher="Zhejiang University Press & Springer",
doi="10.1631/jzus.B1200150"
}

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%T Anaphylaxis and generalized urticaria from eating Chinese bayberry fruit
%A Hui-ying Wang
%A Zhong-shan Gao
%A Zhao-wei Yang
%A Jing-xin Shao
%A Xiu-zhen Zhao
%A Yu Dai
%A Ronald van Ree
%J Journal of Zhejiang University SCIENCE B
%V 13
%N 10
%P 851-854
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%D 2012
%I Zhejiang University Press & Springer
%DOI 10.1631/jzus.B1200150

TY - JOUR
T1 - Anaphylaxis and generalized urticaria from eating Chinese bayberry fruit
A1 - Hui-ying Wang
A1 - Zhong-shan Gao
A1 - Zhao-wei Yang
A1 - Jing-xin Shao
A1 - Xiu-zhen Zhao
A1 - Yu Dai
A1 - Ronald van Ree
J0 - Journal of Zhejiang University Science B
VL - 13
IS - 10
SP - 851
EP - 854
%@ 1673-1581
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PB - Zhejiang University Press & Springer
ER -
DOI - 10.1631/jzus.B1200150


Abstract: 
chinese bayberry Myrica rubra is a very popular fruit in southeastern China. In spite of its wide consumption, no allergies to this fruit have been reported previously. Here we report on a 40-year-old woman suffering from anaphylaxis to chinese bayberry fruit. Prick-prick skin tests revealed strong reactions to fresh chinese bayberry fruits as well as to peach, and weaker reactions to some other fruits including apple, melon, and banana. ImmunoCAP analysis revealed identical titers of specific IgE (4.3 kUA/L) to peach extract and its lipid transfer protein (LTP, rPru p 3), which was confirmed by detection of a 9 kD band following immunoblotting. Immunoblot analysis with chinese bayberry extract gave bands of 22, 45, and 90 kD, but no 9 kD band was recognized. There was also no evidence of LTP recognition for loquat (36 kD) or melon (24 kD). This first report of a severe allergic reaction to chinese bayberry fruit in a patient with LTP-mediated peach allergy indicates that other as yet unidentified non-pollen related fruit allergens are involved in this new severe fruit allergy.

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