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University of Oklahoma Health Sciences Center

Tick-borne red meat allergy (α-gal syndrome)

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Author/s: 
Jeimy, Samira, Zhu, Rongbo
Date Added: 
October 8, 2023
Journal/Publication: 
CMAJ
Publisher: 
CMA
Publication Date: 
October 3, 2023
Issue: 
38
Volume: 
195
Type: 
Meta-analyses, Reviews, and Guidelines
Format: 
Article
DOI (1): 
10.1503/cmaj.231067
PMID (1): 
37788844

RPR Commentary

A consice summary of the cause, diagnosis, and consequences of alpha-gal syndrome (red meat allergy secondary to tick bite). James W. Mold, MD, MPH

Abstract

Tick-borne red meat allergy occurs from sensitization to a carbohydrate, galactose-α-1,3-galactose (α-gal)

The lone star tick (Amblyomma americanum) is commonly found in the southern United States, but its prevalence in Canada is increasing.1 The tick’s saliva contains a high level of α-gal, a carbohydrate antigen also present in nonprimate mammalian cell membranes.2 Skin and bloodstream exposure to this antigen through a tick bite leads to sensitization to the carbohydrate and, subsequently, to red meat allergy.

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