ArticleInternational journal of legal medicine2003
Death in anaphylaxis in a man with house dust mite allergy.
Article in International journal of legal medicine, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 36 citations in OpenAlex.
- Anaphylactic deaths: A retrospective study of forensic autopsy cases from 2009 to 2019 in Shanghai, China.Heliyon · 2024Article
- Brazilian experience with atopy patch tests forThe World Allergy Organization journal · 2018Article
- International consensus (ICON) on: clinical consequences of mite hypersensitivity, a global problem.The World Allergy Organization journal · 2017Article
- Fatal visit to the dentist.International journal of legal medicine · 2015Article
- Postmortem chemistry update part II.International journal of legal medicine · 2012Review
- House dust mite-related allergic diseases: role of skin prick test, atopy patch test, and RAST in the diagnosis of different manifestations of allergy.European journal of pediatrics · 2010Article
- Astigmatid mites (Acari: Sarcoptiformes) of forensic interest.Experimental & applied acarology · 2009Review
- Pancake syndrome (oral mite anaphylaxis).The World Allergy Organization journal · 2009Article
- Usefulness of serum mast cell-specific chymase levels for postmortem diagnosis of anaphylaxis.International journal of legal medicine · 2005Article
- Black oesophagus: a rare disorder with potentially fatal outcome. A forensic pathological approach based on five autopsy cases.International journal of legal medicine · 2005Article
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Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Up to recently the post-mortem diagnosis of anaphylaxis has been based solely on circumstantial evidence. With the development of assays for mast cell tryptase it is now possible to verify cases of suspected anaphylaxis. Here we present one such case, which initially appeared to be due to sudden death of unknown cause. A 47-year-old farmer was found dead in his bathroom around midnight. Hospital records revealed that he had previously been diagnosed with an allergy to house dust mites. He had also had infrequent episodes of airway symptoms, nausea, hypotension and diarrhoea usually after going to bed. The forensic autopsy did not give any clue to the cause of death. Serum tryptase in post-mortem blood was found to be substantially elevated in two samples (170 and >200 microg/L). Analysis of allergen-specific IgE showed high values for Dermatophagoides pteronyssinus and farinae. High mite allergen levels were found in dust obtained from the patient's mattress. The results of the immunological tests support the assumption that he died of anaphylactic shock. The circumstances and the patient's history of previous attacks after going to bed point to the fact that exposure to mite contaminated food and/or exposure to mite allergens in bed might have caused his death.
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