Case 4
A male with a history of spondylolysis who presented to allergy clinic
at age 16 as a referral from his pediatrician for intermittent
urticarial rash and an allergic reaction to lemon. The reaction had
occurred the year prior and was following consumption of a lemonade
Capri SunĀ®. He experienced itching of the throat and some difficulty
swallowing within 20 minutes of drinking the beverage. The symptoms
resolved spontaneously within an hour. He had previously tolerated lemon
and lemon-flavored drinks, but had been avoiding all forms of lemon
since the reaction. His physical exam at that time was unremarkable.
Food skin prick testing was performed to lemon and was negative.
Unfortunately, this patient could not be reached for further mold
testing.