Repeated shortness of breath after eating curry - misjudgement as food allergy

We report the case of a patient who had repeated cough, dyspnea, and thight ness of chest after meal cooked wih curry. He was submitted with suspicion of food allergy or intolerance. Skin prick tests, PAST, and challenge tests with suspected food, especially curry, were negative. The reason, indeed, was repeated pulmonary embolism with deep vein thrombosis in the calf and a bnormal perfusion scan. This case report shows that despite typical allergo logic history any differential diagnosis has to be kept in mind. In cases w here food allergy could not be proven not always psychosmatic reasons are t o be thought of.