![]() The use of complementary and naturopathic medicine is prevalent across Canada. We prescribed an epinephrine auto-injector and reviewed its correct usage with our patient. We advised our patient to avoid bee pollen supplements and other products containing grasses or pollens. Histamine control testing gave a positive result. Results of similar tests for birch, ragweed, foods and the other two supplements were negative. The patient’s clinical examination was unremarkable.Ī skin allergy test (i.e., a prick/scratch test) showed a strong positive result for the bee pollen supplement (20-mm wheal, 41-mm erythema), and Timothy grass (20-mm wheal, 37-mm erythema). She had no history of allergies to foods, drugs, latex or insect venom, and no family history of atopy. She was a nonsmoker and took no regular medications. The patient had a history of seasonal allergic rhinoconjunctivitis, particularly during the summer months, but was otherwise healthy. ![]() The supplements were stopped and no further reactions occurred. The symptoms resolved after emergency treatment with epinephrine and diphenhydramine, and fluids given intravenously. The patient also had shortness of breath and felt faint, lightheaded and weak. Ten minutes after she took her second dose of supplements, the patient’s eyelids, lips and throat began to swell, she had difficulty swallowing, and hives started to develop. ![]() Before the reaction, the patient had recently started taking three health supplements: bee pollen, omega 3-6-9 oil and vitamin D3. A 30-year-old woman was referred to the allergy clinic after having an anaphylactic reaction.
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