Immediate and Delayed Hypersensitivity to Garlic and Soybean

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Abstract
The authors have reported a case of occupational airborne dermatitis from garlic and soybean found in a superviser of a sausage factory. A 31-year-old atopic male developed outbreaks of urticaria and eczema on his face and hands, rhinitis, conjuntivitis, and dyspnea when he entered the department of the factory where garlic and soybean powders were added to the meat. Patch tests, prick tests, and radioallergosorbent tests (RASTs) were positive to garlic and soybean. Inhalation challenge tests with soybean powder induced an asthmatic crisis. The authors present a review of cutaneous adverse reactions to foods and, in their case, they stress the association of an immediate (type 1) and a delayed (type 4) hypersensitivity reaction to two food ingredients, garlic and soybean.

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