Details

Autor(en) / Beteiligte

• Huffaker, Michelle Fox
• McGhee, Sean Austin

Titel

Four cases of delayed onset systemic reaction to shellfish

Ist Teil von

• The journal of allergy and clinical immunology in practice (Cambridge, MA), 2018-03, Vol.6 (2), p.656-657

Ort / Verlag

United States: Elsevier Inc

Erscheinungsjahr

2018

Link zum Volltext

Quelle

Alma/SFX Local Collection

Beschreibungen/Notizen

• Shellfish allergy is one of the most common causes of food-induced anaphylaxis with reported allergy in the United States of 0.5% to 2.5%.1,2 Previously described allergic reactions to shellfish include urticaria, oral allergy syndrome, anaphylaxis, food protein-induced enterocolitis syndrome, food-dependent exercise-induced anaphylaxis, and contact dermatitis.2-5 To our knowledge, there have been no reports of delayed-onset systemic reactions to shellfish in the medical literature.Delayed anaphylaxis to food has previously been recognized with alpha-gal food allergy, but otherwise is not well documented in the medical literature.6,7 The cases presented here illustrate that delayed systemic allergic reactions may also occur with shellfish.Cross-reactivity with dust mite or cockroach tropomyosin in shellfish-allergic patients is well documented, and may also play a role in cases, particularly where there is no evidence of shellfish sensitization or the reaction appears dependent on dose or mode of preparation.9 Research is needed to determine the mechanism of delayed anaphylaxis and systemic reactions to shellfish and clinicians should keep this possibility in mind when evaluating food allergy and challenging patients to shellfish. 1 S.H. Sicherer, A. Munoz-Furlong, H.A. Sampson, Prevalence of seafood allergy in the United States determined by a random telephone survey, J Allergy Clin Immunol, Vol. 114, 2004, 159-165 2 C.K. Woo, S.L. Bahna, Clin Transl Allergy, Vol. 1, 2011, 3 3 M.F. Jeebhay, T.G. Robins, S.B. Lehrer, A.L. Lopata, Occupational seafood allergy: a review, Occup Environ Med, Vol. 58, 2001, 553-562 4 A.L. Lopata, S.B. Lehrer, Shellfish allergy, Clin Exp Allergy, Vol. 40, 2010, 850-858 5 W. Barg, W. Medrala, A. Wolanczyk-Medrala, Exercise-induced anaphylaxis: an update on diagnosis and treatment, Curr Allergy Asthma Rep, Vol. 11, 2011, 45-51 6 S.P. Commins, T.A. Platts-Mills, Delayed anaphylaxis, angioedema, or urticaria after consumption of red meat in patients with IgE antibodies specific for galactose-alpha-1,3-galactose, J Allergy Clin Immunol, Vol. 123, 2009, 426-433 7 O.I. Iweala, A.W. Burks, Food allergy: our evolving understanding of its pathogenesis, prevention, and treatment, Curr Allergy Asthma Rep, Vol. 16, 2016, 37 8 D.B. Golden, Patterns of anaphylaxis: acute and late phase features of allergic reactions, Novartis Found Symp, Vol. 257, 2004, 101-110 9 M. Thalayasingam, I.F. Gerez, G.C. Yap, G.V. Llanora, I.P. Chia, L. Chua, Clinical and immunochemical profiles of food challenge proven or anaphylactic shrimp allergy in tropical Singapore, Clin Exp Allergy, Vol. 45, 2015, 687-697