Evidence map›Paper›PMID 28894468›Full record

ArticleCase reports in medicine2017

A Case of Immediate Hypersensitivity Reaction to Maltitol.

Ana Rodríguez Trabado, Carmen Cámara Hijón, José Antonio García-Trujillo, Irene Magriz Trascón, Luis Miguel Fernández Pereira

Open access · goldAbstract readCase Reports
In one paragraph

Article in Case reports in medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 5 citations in OpenAlex.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Ana Rodríguez TrabadoAllergy Department, Nuestra Señora del Prado Hospital, Talavera de la Reina, Toledo, Spain.ORCID 0000-0003-4028-7707
Carmen Cámara HijónImmunology Department, San Pedro de Alcántara Hospital, Avda. Pablo Naranjo, S/N, 10002 Cáceres, Spain.
José Antonio García-TrujilloImmunology Department, San Pedro de Alcántara Hospital, Avda. Pablo Naranjo, S/N, 10002 Cáceres, Spain.
Irene Magriz TrascónImmunology Department, San Pedro de Alcántara Hospital, Avda. Pablo Naranjo, S/N, 10002 Cáceres, Spain.
Luis Miguel Fernández PereiraImmunology Department, San Pedro de Alcántara Hospital, Avda. Pablo Naranjo, S/N, 10002 Cáceres, Spain.
Hospital San Pedro de Alcántara · ESHospital General Nuestra Señora del Prado · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMaltitol is a sugar alcohol that is frequently used as a noncaloric sweetener, although it is also used as an excipient, a plasticizer in gelatin capsules, and an emollient. It has not been previously described as an agent involved in immediate hypersensitivity reactions.

methodsWe report on an anaphylactoid reaction with pharyngeal occlusion suffered by a 60-year-old man after ingestion of a candy containing maltitol syrup. A prick-to-prick test was performed with the candy and maltitol powder. Other allergens were excluded as causative agents of the adverse reaction, although the patient refused to undergo an oral challenge test with the candy. A basophil activation test (BAT) was performed with maltitol powder, and a dose-response curve was generated. The test was also performed in 3 healthy controls.

resultsBoth prick-to-prick tests were negative. The result of the BAT was positive at all the concentrations tested in the patient's blood and negative in all the controls.

conclusionsThe BAT can help to clarify the agents implicated in an adverse reaction and can reduce the risk involved in diagnosis. The BAT can also prove useful in the study of reactions caused by low-molecular-weight antigens, for which routine diagnostic tests are not feasible.

Identifiers

PMID28894468
PMCPMC5574304
OpenAlexW2749236752

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.