title: [Allergy to shrimp. A contribution to reactions after ingestion of seafood and fishes].
abstract: Adverse reactions to seafood are common and may cause many types of symptoms that are difficult to define. The nature of these reactions are variable including allergic and toxic reactions as well as infectious diseases. The differentiation between these entities is essential in choosing therapy. We describe 9 patients with IgE mediated allergic reactions due to crustaceans and fish diagnosed from case history, clinical findings, skin tests and specific IgE antibodies. Most symptoms of a IgE mediated allergic reaction appear within 30 minutes after ingestion. Characteristics clinical features may include an urticarial rash, gastrointestinal symptoms and even anaphylaxis. In this case immediate therapy with intravenous glucocorticoids, antihistamine and perhaps subcutaneous epinephrine is required.
authors.affiliation: Allergiestation der Dermatologischen Klinik und Poliklinik, Universitätsspital Zürich.
authors.forename: M H
authors.initials: MH
authors.lastname: Schmid
authors.forename: B
authors.initials: B
authors.lastname: Wüthrich
mesh_terms: D000293:Adolescent; D000328:Adult; D000707:Anaphylaxis / Q000209:etiology; D000799:Angioedema / Q000209:etiology; D000818:Animals; D033364:Decapoda; D003937:Diagnosis, Differential; D005260:Female; D005399:Fishes; D005512:Food Hypersensitivity / Q000209:etiology*; D006801:Humans; D006969:Hypersensitivity, Immediate / Q000209:etiology*; D007073:Immunoglobulin E / Q000097:blood; D007428:Intradermal Tests; D008297:Male; D008875:Middle Aged; D017747:Seafood / Q000009:adverse effects*; D012758:Shellfish / Q000009:adverse effects*; D014581:Urticaria / Q000209:etiology
chemical_list: D007073:Immunoglobulin E