Case 2
A female with a past medical history of asthma, eczema, environmental
allergies and GERD. She was already being followed closely by pediatric
allergy for her chronic atopic diseases. She had previous allergy skin
prick testing that was positive to both species of house dust mite, as
well as Sugar Maple tree at the age of 9; at age 16, she tested positive
to cat and dust mites. At the age of 17, when she presented to allergy
clinic for follow-up, she reported an episode of lip swelling the year
prior after drinking a Wild Cherry Capri Sun®. She reported that she had
tolerated other flavors and eaten cherries prior to that reaction
without difficulty. Her exam was notable only for edematous nasal
turbinates, and a slightly erythematous oropharynx. Skin testing for
cherry was negative. Skin testing for aeroallergens revealed positive
skin prick testing to two mold species (Alternaria alternata andAspergillus mix). Intradermal testing was positive to birch tree,
dog, mixed trees and ragweed. Other individual pollens, mouse and
cockroach tested negative. It was concluded that her reaction may have
been attributable to mold contamination in the Capri Sun®.