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Year : 2014  |  Volume : 5  |  Issue : 1  |  Page : 1

Anaphylactic shock following ingestion of aronia juice in a patient with type 2 diabetes

Department of Internal Medicine, Diabetology and Clinical Pharmacology, Medical University of Lodz - Poland

Correspondence Address:
J Drzewoski
Department of Internal Medicine, Diabetology and Clinical Pharmacology, Medical University of Lodz - Poland

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Source of Support: None, Conflict of Interest: None

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Anaphylaxis is a severe, life-threatening systemic reaction of hypersensitivity occurring unexpectedly in healthy individuals in response to an allergen. Anaphylactic shock combines anaphylaxis with co- existing hypotension. Aronia (Latin - Aronia melanocarpa, common name - black chokeberry) is a bush commonly grown in European countries. Its fruit is used in food industry for production of fruit products, including juices. Due to its antioxidative properties, aronia is recommended as a dietary supplement for people with arterial hypertension, diabetes and lipid metabolism disorders. We present a case of a 54 year old male patient with cardiovascular disease and type 2 diabetes, admitted with signs and symptoms of anaphylactic shock. The symptoms appeared directly after drinking aronia juice. Medical history revealed similar symptoms of alimentary hypersensitivity, requiring hospitalisation and intensive pharmacotherapy, occurred also following ingestion of highbush blueberries and raspberries. The presented case is the first case of anaphylactic shock following ingestion of aronia juice noted in the literature. Additionally, presence of some additional factors that could be responsible for development of hypersensitivity reaction is notable. It is suggested that the patient's age, gender and presence of cardio-metabolic conditions, including type 2 diabetes, could play an important role.

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