Among the reactions usually classed as anaphylactic are the occasional
cases of sensitivity to particular food substances. It is a familiar
fact that certain foods that can be eaten with impunity by most persons
prove more or less acutely poisonous for others. Strawberries and some
other fruits and some kinds of shellfish are among the articles of food
more commonly implicated. Unpleasant reactions to the use of eggs and of
cow's milk are also noted. The severity of the attacks may vary from a
slight rash to violent gastro-intestinal, circulatory, and nervous
disturbances.
Coues[3] has described a rather typical case in a child twenty-one
months old and apparently healthy except for some eczema. When the child
was slightly over a year old egg-white was given to it, and nausea and
vomiting immediately followed. About eight months later another feeding
with egg-white was followed by sneezing and all the symptoms of an acute
coryza. Extensive urticaria covering most of the body also appeared, and
the eyelids became edematous. The temperature remained normal and there
was no marked prostration. The symptoms of such attacks vary
considerably in different individuals, but usually include pronounced
urticaria along with nausea, vomiting, and diarrhea. The rapidity with
which the symptoms appear after eating is highly characteristic.
Schloss[4] has reported a case of an eight-year-old boy who evinced
marked sensitiveness to eggs, almonds, and oatmeal. Experiments in this
instance showed that a reaction was produced only by the proteins of
these several foods, and that extracts and preparations free from
protein were entirely inert. It was further found that by injection of
the patient's blood serum guinea-pigs could be passively sensitized
against the substances in question, thus showing the condition to be one
of real anaphylaxis.
Idiosyncrasy to cow's milk which is observed sometimes in infants is an
anaphylactic phenomenon.[5] The substitution of goat's milk for cow's
milk has been followed by favorable results in such cases.
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