Evidence map›Paper›PMID 34799391›Full record

ArticleBMJ case reports2021

Mammalian meat allergy emerges after tick bite: the alpha-gal syndrome.

Ellery Altshuler, Jesse Krikpatrick, Mahmoud Aryan, Frank Miralles

Open access · greenAbstract readCase Reports
In one paragraph

Article in BMJ case reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 45% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
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

4 authors at 3 institutions in 1 country.

Ellery AltshulerInternal Medicine, University of Florida College of Medicine, Gainesville, Florida, USA ElleryAltshuler@gmail.com.ORCID http://orcid.org/0000-0003-1811-317X
Jesse KrikpatrickHarvard Medical School, Boston, Massachusetts, USA.
Mahmoud AryanInternal Medicine, The University of Alabama at Birmingham School of Medicine, Birmingham, Alabama, USA.ORCID http://orcid.org/0000-0003-3028-8618
Frank MirallesUniversity of Florida College of Medicine, Gainesville, Florida, USA.ORCID http://orcid.org/0000-0002-1828-6428
University of Florida · USHarvard University · USUniversity of Alabama at Birmingham · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Alpha-gal syndrome (AGS) is a hypersensitivity reaction to mammalian meat that develops after tick bite exposure. AGS was first described in 2009 and testing for the allergy has become available in the last decade. We report the case of a 56-year-old farmer with a history of frequent lone star tick bites who presented with a 7-year history of diffuse urticaria occurring hours after eating red meat. AGS is likely underdiagnosed because of the unusual presentation of the allergy, historic lack of available testing, and deficiency of physician knowledge about the condition. Recognition of AGS is important both to help alleviate symptom burden and to avoid iatrogenesis. Patients with AGS should not receive products containing mammalian products, such as cat-gut suture, porcine-derived heart valves, and bovine-derived vaccines. Patients with AGS may present in a variety of clinical environments and physicians of all kinds should be able to recognise the symptoms.

Indexed as

Food HypersensitivityRed MeatTick BitesUrticariaAnimalsCattleHumansMeatdermatologygeneral practice / family medicineinfectious diseases

Identifiers

PMID34799391
PMCPMC8606763
OpenAlexW3214320152

What OpenQuestion holds

Textmetadata
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.