Case History
We present a case of a 24-years-old woman with atopic dermatitis,
eosinophilic allergic asthma and cat allergy with previously history of
severe anaphylaxis to walnut and almond (sensitization to storage
proteins). The patient also has a history of bronchospasm with
(non-occupational) airborne exposure to trace amounts of almond.
The patient was evaluated for anaphylaxis to a piece of dark chocolate.
She developed ocular, nasal, oral and pharyngeal pruritus, lip
angioedema, sneezing, rhinorrhea and intense abdominal pain within 5
minutes of ingestion. Her symptoms resolved after treatment with IM
epinephrine in an emergency department. She had previously tolerated
cocoa.