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Related Experiment Videos

Immediate skin test reactions to spices

A Niinimäki, M Hannuksela

    Allergy
    |October 1, 1981
    PubMed
    Summary

    Spice allergies are common in atopic individuals, with curry and paprika frequently causing reactions. These spice allergies show cross-reactivity with pollens, fruits, and vegetables.

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    Area of Science:

    • Immunology
    • Allergology
    • Clinical Medicine

    Background:

    • Atopic individuals often exhibit hypersensitivity to various environmental factors.
    • The role of common dietary spices as allergens is not fully elucidated.
    • Cross-reactivity between different allergen groups can complicate diagnosis.

    Purpose of the Study:

    • To investigate the prevalence of allergic reactions to common spices in atopic and non-atopic patients.
    • To identify specific spices and their components that elicit allergic responses.
    • To explore potential cross-allergies between spices and other common allergens like pollens and foods.

    Main Methods:

    • Skin prick tests were conducted on 1,120 atopic and 380 non-atopic patients using common spices.
    • Components of frequently reacting spices (e.g., curry) were tested individually.
    • Oral mucosal tests and peroral challenges were performed in selected patient groups.

    Main Results:

    • Positive skin test reactions to spices were predominantly observed in atopic patients.
    • Curry and paprika induced the most frequent reactions; coriander, caraway, cayenne, and mustard were key components.
    • A significant correlation was found between spice allergies and allergies to tree pollens, fruits, and vegetables.
    • Local oral reactions occurred in 14/35 patients with positive skin tests when spices were applied to oral mucosa.

    Conclusions:

    • Common spices, particularly curry and its constituents, are significant allergens in atopic individuals.
    • Spice allergies frequently coexist with allergies to pollens, fruits, and vegetables, indicating potential cross-reactivity.
    • While skin tests are indicative, clinical symptoms from ingested spices are less common, and peroral challenges were negative in a small cohort.

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