To the Editor: Alcoholic drinks have been described as triggeringor initiating anaphylactoid reactions.1 Although little is knownabout the pathogenesis of these reactions,2 wine contains manybiologic and chemical components derived from grapevines, yeast,bacteria, and insects (including those of the order Hymenoptera)that might explain the observed symptoms.3,4
We report on five patients who presented with symptoms afterdrinking grape juice or newly pressed wines (both red and white).Three of the patients had an oral allergy syndrome and facialflushing, one had asthmatic symptoms, and one had anaphylaxis.Skin tests with conventional allergens, including commercialgrape extract, . . . [Full Text of this Article]
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