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Anaphylaxis to Kamut® flour in an adult patient: a case report
Timothy J Olynych
1
Lori Connors
0
0
Clinical Immunology and Allergy, Dalhousie University
,
Halifax, NS
,
Canada
,
B3J 3R4
1
Internal Medicine, Dalhousie University
,
Halifax, NS
,
Canada
,
B3J 3R4
2011 Olynych and Connors; licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
From Canadian Society of Allergy and Clinical Immunology Annual Scientific Meeting 2011
Quebec, Canada. 20-23 October 2011
Wheat products are nearly ubiquitous in society and are
found in many food and non-food products. There are
now a variety of Ancient grains that were previously not
used in foodstuff in the Western diet. Kamut (khorasan
wheat) flour is an ancient grain that was introduced in
North America in the late nineties. It is commonly
found in multigrain products.
Our patient is a 24-year-old female with a past medical
history of well-controlled asthma. She describes oral itch
and throat itch lasting 30 minutes with eating various
types of multigrain products over several years. She eats
whole wheat and white bread products without difficulty.
After ingesting two pieces of pizza made with Kamut
flour she developed chest tightness, back pain, vomiting,
difficulty swallowing, and continued itch in her throat.
Her symptoms resolved within an hour of taking an
antihistamine. She underwent skin prick testing to the
multiple bread products that she had reacted to in the past, as
well as Kamut flour. Kamut flour had a 5mm and 7mm
wheal with 22mm and 20mm flare respectively on two
independent skin tests. Tests to the other multigrain
products were also positive. After review of ingredient lists
of the multigrain products she underwent further testing
to a number of less commonly used flours and had
positive tests to tritecare, quinoa and amaranth flours. She
now carries an epinephrine injector and avoids
multigrain and ancient grain products, including Kamut. To
our knowledge this is the first case of anaphylaxis to
Kamut flour.
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