John, a 15 year old with known peanut and birch allergy, visits his healthcare provider after experiencing itching in the mouth and nasal congestion after eating Asian food that contains soy products.
John's healthcare provider conducts a full clinical history and physical examination and decides to test using soy components.
A boy with a peanut and birch allergy visits his healthcare provider after experiencing symptoms when eating food that contains soy products.
These results together with this patient's case history and symptoms, help confirm the diagnosis.
Allergen | Type |
John's Results |
Soy |
Whole Allergen |
1.5 |
Gly m 4 |
Allergen Component |
1.9 |
Gly m 5 |
Allergen Component |
1.4 |
Gly m 6 |
Allergen Component |
2.2 |
Peanut |
Whole Allergen |
72.1 |
Ara h 1 |
Allergen Component |
22.4 |
Ara h 2 |
Allergen Component |
23.1 |
Ara h 3 |
Allergen Component |
13.4 |
Ara h 8 |
Allergen Component |
3.7 |
Ara h 9 |
Allergen Component |
<0.1 |
The results for Gly m 5 and Gly m 6 indicate that John has an increased risk of severe reaction if soy is ingested, even in small amounts. The results for Ara h 1, Ara h 2, Ara h 3 also indicate that John has an increased risk for severe reaction to peanut. The test results also indicate a clinically relevant cross-reactions between birch pollen and Gly m 4.1
REFINED DIAGNOSIS
HEALTHCARE PROVIDER MANAGEMENT PLAN
John's healthcare provider:
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