Contact Dermatitis Due to Mango

Zakon, Samuel J.

doi:10.1001/jama.1939.72800450003008b

Cited by 6 publications

(21 citation statements)

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“…The first patient with allergic reaction to mango documented in the literature had presented with manifestations of delayed hypersensitivity [1]. …”

Section: Resultsmentioning

confidence: 99%

“…Amongst the twelve such patients described in the literature [1, 11-17], the symptoms overlapped with contact dermatitis present in eleven [1, 11-16], perorbital edema in four [13-15] and vesicular lesions and blister formation in the circumoral region in two [1, 17]. It was observed that the duration of onset of symptoms in these twelve patients was variable and ranged from 4 h [11] to 7 days [12].…”

Section: Resultsmentioning

confidence: 99%

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Hypersensitivity manifestations to the fruit mango

Sareen

Shah

2011

Asia Pacific Allergy

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The objectives of this study are 1) To review the published data and document the current knowledge on allergic manifestations to the fruit mango 2) To highlight the two distinct clinical presentations of hypersensitivity reactions caused by mango 3) To discuss the role of cross-reactivity 4) To increase awareness of potentially life threatening complications that can be caused by allergy to mango. An extensive search of the literature was performed in Medline/PubMed with the key terms "mango", "anaphylaxis", "contact dermatitis", "cross-reactivity", "food hypersensitivity", "oral allergy syndrome" and "urticaria". The bibliographies of all papers thus located were searched for further relevant articles. A total of 17 reports describing 22 patients were documented, including ten patients with immediate hypersensitivity reaction and twelve patients with delayed hypersensitivity reaction to mango. Ten of these patients (four with immediate reaction; six with delayed reaction) were from geographical areas cultivating mango, whereas twelve patients (six with immediate reaction; six with delayed reaction) were from the countries where large scale mango cultivation does not occur. The clinical features, pathogenesis and diagnostic modalities of both these presentations are highlighted. The fruit mango can cause immediate and delayed hypersensitivity reactions, as also "oral allergy syndrome". Although rare, it can even result in a life threatening event. Reactions may even occur in individuals without prior exposure to mango, owing to cross reactivity. It is imperative to recognize such a phenomenon early so as to avoid potentially severe clinical reactions in susceptible patients.

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“…The first patient with allergic reaction to mango documented in the literature had presented with manifestations of delayed hypersensitivity [1]. …”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Hypersensitivity manifestations to the fruit mango

Sareen

Shah

2011

Asia Pacific Allergy

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“…A recent review [18] presented 22 patients with documented hypersensitivity to the fruit mango, 10 of whom had immediate hypersensitivity, while 12 presented with delayed hypersensitivity reactions with predominant skin manifestations. The first report of an allergic reaction to mango was a description of delayed hypersensitivity manifestation from USA in 1939 by Zakon [10]. The report described a young female who developed acute vesicular dermatitis involving lips and circumoral area, 24 hours after ingestion of mango.…”

Section: Discussionmentioning

confidence: 99%

“…To date, there are only 22 patients with documented hypersensitivity to mango. Of these 22 patients, 10 [1][2][3][4][5][6][7][8][9] exhibited immediate hypersensitivity while 12 [10][11][12][13][14][15][16][17] had delayed hypersensitivity reactions. Of the 10 patients with immediate hypersensitivity, two were reported from India [6,9].…”

Section: Introductionmentioning

confidence: 99%

Immediate Hypersensitivity Reaction with Mango

Shah

Gera²

2014

Advances in Respiratory Medicine

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Hypersensitivity to the fruit mango is extremely rare and can exhibit either as immediate or delayed reactions. Since 1939, only 22 patients (10 with immediate type I reactions and 12 with delayed) have been documented with allergy to mango. History of atopy and geographical region may influence the type of reaction. Immediate reactions occurred most often in patients with history of atopy, while delayed reactions developed in non-atopic individuals. Clustering of delayed hypersensitivity reports from Australia and immediate reactions from Europe has been documented. We report a 50-year-old man with immediate type I hypersensitivity to mango, who developed cough, wheezing dyspnoea, generalised itching and abdominal discomfort after ingestion of mango. Life threatening event can also happen making it imperative to diagnose on time, so as to prevent significant morbidity and potential mortality.

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“…A llergy to such different fruits and nuts as banana, chestnut, kiwi, or avocado has frequently been described. However, only a few cases of mango allergy have been reported ( 1–4). Like other food allergens, that of the mango can produce oropharyngeal syndrome, urticaria, and sometimes anaphylaxis ( 1–3), possibly causing life‐threatening complications.…”

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confidence: 99%