MANAGEMENT OF ALLERGIC STOMATITIS CAUSED BY CHICKEN AND EGG

Abstract

Introduction: Allergic stomatitis is a hypersensitivity reaction caused by an allergen such as medicines, foods, dental materials. Chicken and egg are some of the common food we usually consumed. Chicken contains a low amount of protein and fat, while egg contains nutrients and easy to process. Although allergic reactions in poultry products are commonly found in eggs and feathers, chicken is often a cause of the allergic reaction. Case: 28-year-old male patient complained of an ulcer in his mouth. It shows the past 3 days on his upper lips then it shows on his left cheek. Case Treatment: Diagnosis made by anamnesis, clinical examination, and supporting examination such as complete blood count, total IgE, and Skin Prick Test. The patient was prescribed topical anti-inflammatory 2 times daily and after the Skin Prick Test was done the patient was given methylprednisolone 3 times daily for 7 days, the patient was treated in 3 visits. Discussion: A Food allergy usually involved type 1 and 4 hypersensitivity reactions, or both. Skin Prick Test is one of the skin test commonly used by clinicians to prove the presence of specific IgE bound to skin mastocyte cells. Treatment for this case besides medication was advised to avoid food that causes the allergic reaction. Conclusion: Management of this case can be successful if the clinician understands the clinical manifestation of hypersensitivity reaction to food and can make the right diagnosis to provide proper treatment. Furthermore requires patient cooperation to follow the prescribed care instruction