PMID- 37908934 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231102 IS - 2168-8184 (Print) IS - 2168-8184 (Electronic) IS - 2168-8184 (Linking) VI - 15 IP - 9 DP - 2023 Sep TI - The Feline and the Swine: A Peculiar Case in an Allergy Clinic. PG - e46284 LID - 10.7759/cureus.46284 [doi] LID - e46284 AB - Cross-reactivity between mammalian proteins, such as that in Pork Cat Syndrome, remains a topic of great interest. This syndrome, characterized by an immunoglobulin E (IgE)-mediated response to porcine albumin triggered by sensitization through cat epithelium, has been sparsely documented. We discuss a 41-year-old female who developed a pruritic rash within 30 minutes of consuming pork. Notably, she exhibited elevated serum IgE levels with specific reactions to cat dander, dog dander, and pork. A skin prick test for pork was positive. The patient was treated conservatively with allergen avoidance, vitamin D supplementation, fexofenadine, and doxycycline for systemic reactions, and topical corticosteroids for localized skin reactions, yielding a resolution of symptoms. This case underscores the significance of recognizing rare cross-reactivities in allergy and immunology and the manifestations of Pork Cat Syndrome, necessitating a comprehensive patient history and awareness for improved diagnosis and management. CI - Copyright (c) 2023, Kile et al. FAU - Kile, Mahlon R AU - Kile MR AD - Internal Medicine, Ross University School of Medicine, Bridgetown, BRB. FAU - Lucas, Matthew D AU - Lucas MD AD - Internal Medicine, American University of the Caribbean School of Medicine, Cupecoy, SXM. FAU - Ganguli, Malika P AU - Ganguli MP AD - Medicine, Ross University School of Medicine, Bridgetown, BRB. FAU - Dimov, Ves AU - Dimov V AD - Allergy and Immunology, Cleveland Clinic Hospital of Florida, Weston, USA. LA - eng PT - Case Reports DEP - 20230930 PL - United States TA - Cureus JT - Cureus JID - 101596737 PMC - PMC10615587 OTO - NOTNLM OT - albumin sensitivity OT - cross-reactivity OT - cross-sensitization OT - meat allergy OT - pork cat syndrome COIS- The authors have declared that no competing interests exist. EDAT- 2023/11/01 06:43 MHDA- 2023/11/01 06:44 PMCR- 2023/09/30 CRDT- 2023/11/01 04:04 PHST- 2023/09/30 00:00 [accepted] PHST- 2023/11/01 06:44 [medline] PHST- 2023/11/01 06:43 [pubmed] PHST- 2023/11/01 04:04 [entrez] PHST- 2023/09/30 00:00 [pmc-release] AID - 10.7759/cureus.46284 [doi] PST - epublish SO - Cureus. 2023 Sep 30;15(9):e46284. doi: 10.7759/cureus.46284. eCollection 2023 Sep.