Springer Nature
Allergo Journal International
,  volume 34 ,  issue 4 ,  pages 107-109

Successful treatment of anaphylaxis to sulfites with sulfite-containing adrenaline auto-injector

Jolien Isabel Kessels 1
, 
Jan Gutermuth 1
, 
Martine Grosber 1
1
 
Department of Dermatology, Universitair Ziekenhuis Brussel, Brussels, Belgium | 
Publication type: Journal Article
Publication date: 2025-04-17
Springer Nature
scimago Q3
SJR: 0.600
CiteScore: 5.0
Impact factor: —
ISSN: 21970378
Abstract
Anaphylaxis is a potentially life-threatening type 1 hypersensitivity reaction mediated by specific IgE. Culprit allergens frequently include foods, drugs, and insect venom. Sulfites are widely used as additives in food processing but also occur naturally in high concentrations in certain foods. Additionally, they are added as preservatives to aqueous cosmetic and medical solutions. Sulfites have been reported to cause a variety of allergic reactions including anaphylaxis. Here, we present a case of a patient with repetitive anaphylactic reactions to sulfites in food. An allergy workup showed a positive prick test to sodium metabisulfite and a positive oral provocation test. Our patient was successfully treated for anaphylaxis with a sulfite-containing adrenaline auto-injector, suggesting the benefits of adrenaline outweigh the theoretical risks in an acute anaphylactic setting.
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Kessels J. I. et al. Successful treatment of anaphylaxis to sulfites with sulfite-containing adrenaline auto-injector // Allergo Journal International. 2025. Vol. 34. No. 4. pp. 107-109.
GOST all authors (up to 50) Copy
Kessels J. I., Gutermuth J., Grosber M. Successful treatment of anaphylaxis to sulfites with sulfite-containing adrenaline auto-injector // Allergo Journal International. 2025. Vol. 34. No. 4. pp. 107-109.
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RIS Copy
TY - JOUR
DO - 10.1007/s40629-025-00328-w
UR - https://link.springer.com/10.1007/s40629-025-00328-w
TI - Successful treatment of anaphylaxis to sulfites with sulfite-containing adrenaline auto-injector
T2 - Allergo Journal International
AU - Kessels, Jolien Isabel
AU - Gutermuth, Jan
AU - Grosber, Martine
PY - 2025
DA - 2025/04/17
PB - Springer Nature
SP - 107-109
IS - 4
VL - 34
SN - 2197-0378
ER -
BibTex |
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BibTex (up to 50 authors) Copy
@article{2025_Kessels,
author = {Jolien Isabel Kessels and Jan Gutermuth and Martine Grosber},
title = {Successful treatment of anaphylaxis to sulfites with sulfite-containing adrenaline auto-injector},
journal = {Allergo Journal International},
year = {2025},
volume = {34},
publisher = {Springer Nature},
month = {apr},
url = {https://link.springer.com/10.1007/s40629-025-00328-w},
number = {4},
pages = {107--109},
doi = {10.1007/s40629-025-00328-w}
}
MLA
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Kessels, Jolien Isabel, et al. “Successful treatment of anaphylaxis to sulfites with sulfite-containing adrenaline auto-injector.” Allergo Journal International, vol. 34, no. 4, Apr. 2025, pp. 107-109. https://link.springer.com/10.1007/s40629-025-00328-w.