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Table 1 Clinical features

From: Alpha-gal allergy in a South Asian country

 

Sex

Atopy

Tick bites

Allergy to

RM

Interval

for CF

(hours)

Other allergies

IgE

α-gal

(kU/L)

IgE RM

(kU/L)

IgE BSA

(kU/L)

RM SPT

Clinical Features

Skin

RT

CVS

GIT

CNS

Age 1–5 years

 1

M

No

UC

Mutton

3.5

MMR(SPT only), CM

16.6

  

Beef

Neg

U

    

 2

M

No

No

Beef

5

No

56.7

12.3

0.29

-

U

    

 3

F

Yes

Yes

Pork

0.5

MMR,

Ice cream

87.1

37.3

< 0.1

-

U

SOB

   

 4

F

Yes

No

Pork

1

MMR,

CM

45.7

9.09

< 0.1

-

U

SOB

Cough

   

 5

M

No

Yes

Beef

1

MMR (SPT only)

74.1

18.8

< 0.1

-

U

SOB

   

 6

F

No

No

Pork

0.75

-

1.94

0.76

< 0.1

-

U

SOB

   

 7

M

No

No

Pork

3

-

32.6

9.58

0.28

-

U, A

  

AP

 

 8

M

No

No

Pork

Beef

2

-

43.4

29.6

< 0.1

-

U, A

SOB

 

V

LOC

Age > 5–12 years

 9

M

No

Yes

Pork

Beef

2

-

48.5

38.4

0.11

-

U

    

 10

F

No

Yes

Venison

5

-

36

17.5

< 0.1

-

U

 

Low BP

AP

 

 11

F

No

Yes

Beef

4

-

0.95

0.36

< 0.1

-

U

SOB

CP

 

LOC, Dizzy

 12

M

No

Yes

Beef

0.5

CM

18.3

-

-

Beef

neg

   

AP

 

 13

M

Yes

No

Pork,

Beef

Mutton

0.5

-

35.7

14.9

< 0.1

-

U

  

AP

Faint

LOC

 14

F

No

Yes

Venison

4

-

11.9

-

< 0.1

-

P, U, A

SOB

   

 15

M

NA

Yes

Pork

5

-

6.91

5.31

-

-

U, A

  

AP

 

 16

F

No

No

Beef

1

-

17.4

4.65

< 0.1

-

U, A

Cough

W

Low BP

  

 17

F

Yes

Yes

Beef

Mutton

5

-

50.2

18

< 0.1

-

P, U, A

SOB,

W

Cough

Low BP

V

LOC

 18

M

Yes

Yes

Venison

5

-

16.7

13.6

< 0.1

-

U

    

 19

F

Yes

No

Beef

3

-

7.92

5.63

< 0.1

-

U

SOB

W

   

 20

F

NA

Yes

Pork

NA

MMR

67.3

27.5

< 0.1

Pork

3 mm

U

SOB

   

 21

M

Yes

Yes

Pork

Venison

1.5

-

5.64

2.75

< 0.1

-

U, A

SOB

   

 22

M

Yes

Yes

Beef

2

-

16.8

12.6

0.16

-

U

SOB

CP

AP

 

 23

M

No

Yes

Pork

Sambur

5

-

73

59.6

0.94

-

U, A

SOB

 

V, AP

LOC

 24

F

Yes

NA

Pork

8

 

12.8

9.71

-

-

U, A

    

 25

F

Yes

NA

Pork

Beef

0.25

-

15.6

0.4

< 0.1

-

U, A

    

 26

F

No

No

Pork

Beef

3

Rubella

90

43.5

-

Beef

4 mm

U

SOB

   

 27

M

NA

UC

Pork

Beef

6

VZV

32

22.7

< 0.1

-

U

    

 28

M

No

No

Pork

5

-

43.5

29.4

< 0.1

-

U

SOB

Low BP, Tachy

  

 29

F

No

Yes

Beef

Mutton

5

-

4.23

3.36

< 0.1

-

U, A

    

 30

F

No

No

Pork

4

-

3.58

1.88

< 0.1

-

U

SOB

   

 31

M

No

No

Pork

2.75

-

49.1

4.32

< 0.1

Beef

3 mm

U, A

SOB

 

V

dizzy

Age > 12–18 years

 32

F

NA

UC

Pork

6

-

73.6

53.1

< 0.1

-

U, A

   

LOC

 33

F

No

No

Pork

0.5

-

54.6

4.84

0.13

-

U

SOB

Low BP, Tachy

CP

AP, V

LOC

 34

M

No

NA

Pork

8

-

22.5

6.59

< 0.1

-

U

SOB

CP

V

LOC

 35

F

No

Yes

Pork

Beef

2

-

32.2

22

< 0.1

-

U, A

    

 36

M

NA

Yes

Beef

Mutton

3

-

14.2

7.36

< 0.1

-

U, A

    

 37

M

No

Yes

Beef

1.5

-

19.7

12.8

< 0.1

-

U

  

V

LOC

 38

F

Yes

No

Pork

Mutton

0.3

-

30.3

0.67

< 0.1

-

U

    

Age > 18 years

 39

F

No

No

Pork

NK

-

2.94

2.12

< 0.1

-

U

SOB

  

Dizzy

 40

M

Yes

Yes

Mutton

0.5

-

42.3

16.7

42.3

 

U

Cough

 

AP, V

 

 41

F

No

NA

Pork

Beef

Mutton

4

-

31.4

19.2

0.1

-

U, A

SOB

 

V

LOC

 42

M

Yes

No

Pork

Beef

1

-

37.1

16.7

< 0.1

-

U

    

 43

M

Yes

No

Pork

Beef

Mutton

Porcupine

4

-

5.12

4.05

< 0.1

-

U

SOB

 

AP, D

LOC

 44

F

No

NA

Pork

Beef

2

ARV

CM

Jelly

13.7

13.6

< 0.1

-

U

SOB

W

 

AP, D

 

 45

F

No

No

Pork

2

-

4.87

2.33

< 0.1

-

U

   

LOC

 46

F

Yes

Yes

Pork

Beef

4

-

14.5

12

< 0.1

-

U

    

 47

M

No

No

Beef

3

-

1.24

0.37

0.13

 

U, P

R

CP

AP

Dizzy

 48

M

NA

Yes

Lamb

6

-

42.5

16.6

< 0.1

-

U, A, P

SOB, Dysphonia

 

Dysphagia

 

 49

F

No

Yes

Beef

5

-

2.54

3.1

< 0.1

-

U

    

 50

M

No

No

Beef

0.17

-

27

14.4

< 0.1

-

U

 

CP

  

 51

F

NA

Yes

Pork

Beef

0.17

-

10.7

0.91

< 0.1

-

U, P

SOB

R

   

 52

F

No

No

Beef

5.5

-

9.97

2.39

< 0.1

-

U, A

SOB

Low BP

 

BV

 53

F

Yes

NA

Pork

Mutton

Beef

0.33

-

51

14

< 0.1

-

U

    

 54

F

Yes

NA

Pork

5

-

24.2

4.02

< 0.1

-

U

 

Low BP

V

LOC

 55

F

No

No

Pork

Beef

5

-

3.05

0.99

< 0.1

-

U

  

AP, N, V, D

LOC

 56

F

Yes

No

Pork

4

-

38.8

3.9

< 0.1

-

U, A, P

SOB

Palpitation

 

Drowsy

 57

M

No

No

Pork

Beef

2

-

35

22.7

< 0.1

-

U

    
  1. A angioedema, AP abdominal pain, ARV anti rabies vaccine, BP blood pressure, BSA bovine serum albumin, BV blurring of vision, CF clinical features, CM cows’ milk, CNS central nervous system, CP chest pain, CVS Cardio vascular system, D diarrhea, F female, GIT gastro intestinal tract, LOC loss of consciousness, M male, MMR measles mumps rubella vaccine, N nausea, NA not available, P pruritus, R rhonchi, RM red meat, RT respiratory tract, SOB shortness of breath, SPT skin prick test, Tachy Tachycardia, U urticaria, UC uncertain, V vomiting, VZV varicella zoster vaccine, W wheezing