# Alpha gal syndrome - A rare case report in South India

## TL;DR

A 31-year-old woman in South India experienced allergic reactions after eating red meat, likely due to a tick bite, indicating a rare case of Alpha gal syndrome.

## Contribution

This is the first reported case of Alpha gal syndrome in South India.

## Key findings

- The patient had anaphylactic reactions linked to red meat consumption following a tick bite.
- Elevated serum IgE levels supported the diagnosis of Alpha gal syndrome.
- No prior cases of this syndrome have been documented in South India.

## Abstract

A 31-year-old female presented with complaints of itching with previous history of 5-6 anaphylactic reactions since last one month.
Her symptoms were preceded (3-6 hours) with intake of red meat. She suffered one tick bite (probably a lone star tick) one month before
the allergic episodes. Laboratory tests showed elevated serum IgE levels. She was suspected to suffer from Alpha gal syndrome. It is a
disease causally linked to bites from ticks. Although cases of alpha-gal allergy have already been reported in a few European countries,
to our best knowledge, no cases have been reported so far in South India. She was managed with steroids and dietary restrictions.