Tulip allergy

Authors: Prof. Dr. med. Peter Altmeyer, Prof. Dr. med. Martina Bacharach-Buhles

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Last updated on: 29.10.2020

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Synonym(s)

Dermatitis on tulips; Tulip; tulipa gesnerana; Tulipalin A; Tulip allergens; Tulip dermatitis; Tuliposide A

Definition
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Allergic concomitant dermatitis to components of the tulips. Tulips are ornamental plants from the genus Tulipa in the lily family (Liliaceae).

Occurrence
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Originally native to southwest and south central Asia. First mentioned already in the 12th century in the "Tales of a Thousand and One Nights". Today, more than 3000 different tulip varieties are cultivated in the Netherlands.

Field of application/use
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A medical use of tulips is not known. After ingestion tulip bulbs cause nausea.

Undesirable effects
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The most common tulip allergen is alpha-methylene-y-butyrolactone (Tulipalin A CAS No.: 547-65-9). Tulipalin A (lactone with the molecular formula: C5H6O2) has a wide distribution in the family of Liliaceae and Alstromeriaceae (Alstromeria). Its sensitizing power is high. Frequency of sensitization: Frequent.

Less frequent are sensitizations to tuliposide A (CAS No.:19870-30-5), a substance from the group of glycosides with the molecular formula: C11H18O8.

Clinical picture
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Allergic reactions to tulips are a well-known occupational disease among tulip growers in the Netherlands. The skin changes that occur on the fingertips are called " tulip fingers". In rare cases, contact urticaria has been described with respiratory symptoms. Cross-reactivity to garlic and onions is questionable. Other species containing tulipin A are: alstroemeria, lilies, leeks, crown of emperor and other lily plants.

Literature
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  1. Christensen LP et al (1995) A simple HPLC method for the isolation and quantification of the allergens tuliposide A and tulipalin A in Alstroemeria. Contact dermatitis 32:199 - 203.