title: [The overheated lunch].
abstract: We report about three patients consulting a general practitioner with acute onset of allergy-like clinical signs after having consumed tuna fish salad in the same restaurant. The treatment with antihistamines and steroids was effective and induced a quick regression of the symptoms. We look at considerations regarding the differential diagnosis and explain the pathophysiologic and the biochemical mechanisms of scombrotoxicosis.
authors: Universitätspoliklinik Endokrinologie, Diabetologie und Klinische Ernährung, Universitätsspital, Inselspital Bern.
authors: Nicole
authors: N
authors: Leonhard
authors: Gruppenpraxis Westbahnhof, Solothurn.
authors: Jan
authors: J
authors: Braunwalder
authors: Universitätspoliklinik Endokrinologie, Diabetologie und Klinische Ernährung, Universitätsspital, Inselspital Bern.
authors: Zeno
authors: Z
authors: Stanga
authors: Universitätspoliklinik Endokrinologie, Diabetologie und Klinische Ernährung, Universitätsspital, Inselspital Bern.
authors: Michèle
authors: M
authors: Leuenberger
mesh_terms: D000328:Adult; D000818:Animals; D003937:Diagnosis, Differential; D004417:Dyspnea / Q000209:etiology*; D004630:Emergencies; D005260:Female; D005396:Fish Products / Q000633:toxicity*; D005519:Food Preservation; D005517:Foodborne Diseases / Q000175:diagnosis*; D006636:Histamine Release / Q000502:physiology; D006358:Hot Temperature / Q000009:adverse effects; D006801:Humans; D008297:Male; D008387:Marine Toxins / Q000633:toxicity*; D018908:Muscle Weakness / Q000209:etiology*; D009325:Nausea / Q000209:etiology*; D014413:Tuna
chemical_list: D008387:Marine Toxins; C034101:scombrotoxin
keywords: Histamin; Intolérance alimentaire; Lebensmittelunverträglichkeit; Lebensmittelvergiftung; Scombrotoxismus; food intolerance; food intoxication; histamine; intoxication alimentaire; scombrotoxicose; scombrotoxicosis