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Independent Nurse: Clinical - Identifying allergy to fig species.

GP

| August 04, 2008 | COPYRIGHT 2003 Haymarket Business Publications Ltd. (Hide copyright information)Copyright

CASE STUDY: Reactions caused by the weeping fig house plant may be significantly under-diagnosed, writes Dr Michael Radcliffe.

Gillian is a 49-year-old shop manager who attended a week ago after experiencing attacks of itchy eyes and face, lip swelling and nasal congestion lasting an hour or more on two consecutive evenings.

A third attack the following evening caused throat narrowing, weakness, hypotension and wheezing, which required urgent hospital treatment including adrenaline, IV fluids, hydrocortisone and antihistamines.

She remained wheezy for a day or so and then recovered fully. At A&E it was suggested that she undergo food allergy tests.

Testing for allergy

As she was medically insured, a full set of food-specific IgE (RAST) blood tests were requested in primary care after taking into …

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