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This is the first time in Top Chef that a contestant is shown to be in anaphylactic shock during a challenge.

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A Season 20 World All-Stars episode has cheftestant Victoire experiencing anaphylaxis in real time due to working with walnuts which she was allergic to. It started as constant sneezing before her voice changed octaves. Then her breathing became irregular. And she was unable to convey this to her teammates due to a language barrier. (Born in the Congo, resided in Italy, she learned English only four months prior to the competition.) It was only after the challenge was completed that doctors rushed to administer an epipen. And she was still out of breath and forced not to rejoin her team even after they won the challenge.

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