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shellfish allergy

12/15/2021

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Shellfish Allergy
Shellfish Allergens
Often 𝐬𝐞𝐚𝐟𝐨𝐨𝐝 is what is named to anything coming from the sea.⁣⁣

But this name seems to be mixed or interchanged with 𝐬𝐡𝐞𝐥𝐥𝐟𝐢𝐬𝐡.⁣⁣

Let’s clarify this.⁣⁣

𝐒𝐡𝐞𝐥𝐥𝐟𝐢𝐬𝐡 is made of 𝘴𝘦𝘢 𝘮𝘰𝘭𝘭𝘶𝘴𝘤𝘴 and 𝘤𝘳𝘶𝘴𝘵𝘢𝘤𝘦𝘢𝘯𝘴⁣⁣

Both groups are very different.⁣⁣
  • 𝐂𝐫𝐮𝐬𝐭𝐚𝐜𝐞𝐚𝐧𝐬 are from 𝘗𝘩𝘺𝘭𝘶𝘮 𝘈𝘳𝘵𝘩𝘳𝘰𝘱𝘰𝘥𝘢⁣⁣
  • All others are from 𝘗𝘩𝘺𝘭𝘶𝘮 𝘔𝘰𝘭𝘭𝘶𝘴𝘤𝘢⁣⁣

The most important allergen is a protein called 𝐭𝐫𝐨𝐩𝐨𝐦𝐲𝐨𝐬𝐢𝐧, and it can be found in the muscle of any of those species.⁣⁣
This is the main reason for cross-reactivity between them.⁣⁣

















The incidence of 𝐒𝐡𝐞𝐥𝐥𝐟𝐢𝐬𝐡 allergy depends on diet habits:⁣⁣
  1. 𝘈𝘴𝘪𝘢𝘯 𝘤𝘰𝘶𝘯𝘵𝘳𝘪𝘦𝘴 have the highest⁣⁣
  2. In 𝘗𝘰𝘳𝘵𝘶𝘨𝘢𝘭, it represents 35% of food allergy⁣⁣
  3. In 𝘚𝘱𝘢𝘪𝘯 is on the rise⁣⁣
  4. It is roughly 5 times higher in adults⁣⁣

Cross-reactivity:⁣⁣
  1. 𝐕𝐞𝐫𝐲 𝐬𝐦𝐚𝐥𝐥 𝐛𝐞𝐭𝐰𝐞𝐞𝐧 𝐟𝐢𝐬𝐡 𝐚𝐧𝐝 𝐬𝐡𝐞𝐥𝐥𝐟𝐢𝐬𝐡⁣⁣
  2. 𝐌𝐨𝐫𝐞 𝐥𝐢𝐤𝐞𝐥𝐲 𝐭𝐨 𝐛𝐞 𝐟𝐨𝐮𝐧𝐝 𝐰𝐢𝐭𝐡𝐢𝐧 𝐭𝐡𝐞 𝐬𝐚𝐦𝐞 𝐠𝐫𝐨𝐮𝐩𝐬⁣⁣
  3. Often found between 𝘤𝘳𝘶𝘴𝘵𝘢𝘤𝘦𝘢𝘯 and 𝘮𝘰𝘭𝘭𝘶𝘴𝘤𝘴⁣⁣
  4. Common between 𝘤𝘳𝘶𝘴𝘵𝘢𝘤𝘦𝘢𝘯𝘴 and 𝘩𝘰𝘶𝘴𝘦 𝘥𝘶𝘴𝘵 𝘮𝘪𝘵𝘦𝘴, 𝘤𝘰𝘤𝘬𝘳𝘰𝘢𝘤𝘩𝘦𝘴, and 𝘱𝘢𝘳𝘢𝘴𝘪𝘵𝘦𝘴⁣⁣
  5. Possible between 𝘴𝘯𝘢𝘪𝘭𝘴 and 𝘩𝘰𝘶𝘴𝘦 𝘥𝘶𝘴𝘵 𝘮𝘪𝘵𝘦𝘴⁣⁣

Important notes:⁣⁣
  • 𝐒𝐡𝐞𝐥𝐥𝐟𝐢𝐬𝐡 can cause 𝘧𝘰𝘰𝘥-𝘥𝘦𝘱𝘦𝘯𝘥𝘦𝘯𝘵 𝘦𝘹𝘦𝘳𝘤𝘪𝘴𝘦-𝘪𝘯𝘥𝘶𝘤𝘦𝘥 𝘢𝘯𝘢𝘱𝘩𝘺𝘭𝘢𝘹𝘪𝘴⁣⁣
  • 𝐒𝐡𝐞𝐥𝐥𝐟𝐢𝐬𝐡 can lead to 𝘰𝘳𝘢𝘭 𝘢𝘭𝘭𝘦𝘳𝘨𝘺 𝘴𝘺𝘯𝘥𝘳𝘰𝘮𝘦 (𝐎𝐀𝐒)⁣⁣
  • 𝘍𝘪𝘴𝘩𝘦𝘳𝘮𝘦𝘯, 𝘳𝘦𝘴𝘵𝘢𝘶𝘳𝘢𝘯𝘵 𝘸𝘰𝘳𝘬𝘦𝘳𝘴 and 𝘧𝘢𝘤𝘵𝘰𝘳𝘺 𝘸𝘰𝘳𝘬𝘦𝘳𝘴 can develop 𝘰𝘤𝘤𝘶𝘱𝘢𝘵𝘪𝘰𝘯𝘢𝘭 𝘥𝘦𝘳𝘮𝘢𝘵𝘪𝘵𝘪𝘴, 𝘳𝘩𝘪𝘯𝘪𝘵𝘪𝘴 and 𝘤𝘰𝘯𝘫𝘶𝘯𝘤𝘵𝘪𝘷𝘪𝘵𝘪𝘴 induced by 𝐜𝐫𝐮𝐬𝐭𝐚𝐜𝐞𝐚𝐧𝐬⁣⁣
  • 𝘖𝘤𝘤𝘶𝘱𝘢𝘵𝘪𝘰𝘯𝘢𝘭 𝘢𝘴𝘵𝘩𝘮𝘢 can happen to workers in 𝐬𝐡𝐞𝐥𝐥𝐟𝐢𝐬𝐡 𝐟𝐚𝐜𝐭𝐨𝐫𝐢𝐞𝐬⁣⁣

As with fish, if you have reacted, but the tests are negative, think of 𝐀𝐧𝐢𝐬𝐚𝐤𝐢𝐬 allergy.⁣⁣

Remember, if you have reacted to 𝐜𝐫𝐮𝐬𝐭𝐚𝐜𝐞𝐚𝐧𝐬, you need to be tested for 𝐡𝐨𝐮𝐬𝐞 𝐝𝐮𝐬𝐭 𝐦𝐢𝐭𝐞𝐬!⁣⁣

www.facebook.com/permalink.php?story_fbid=319900496803835&id=100063516604410


Prawn and Shrimp differences
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fish allergy

12/15/2021

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Fish Allergy
Fish allergens
Although 𝐟𝐢𝐬𝐡 𝐚𝐥𝐥𝐞𝐫𝐠𝐲 is common, fortunately, it is not as common as other allergies.⁣

Its incidence varies from country to country, and around 40% of people with fish allergy had their first reaction when they were adults.⁣

In 𝘌𝘶𝘳𝘰𝘱𝘦, less than 0.1% of children have a fish allergy.⁣


  • The protein causing most of the allergic reactions is called 𝐏𝐚𝐫𝐯𝐚𝐥𝐛𝐮𝐦𝐢𝐧, and it exists in the fish’s muscle.⁣
  • Some species will have other allergens, which might also lead to allergic reactions.⁣

















𝐂𝐨𝐝 has been the primary source of studies and information regarding fish allergy.⁣

Though most fishes contain this protein, this 𝐃𝐎𝐄𝐒 𝐍𝐎𝐓 mean that an allergy to a fish will lead to an allergy to all fish.⁣
  • Expect to have cross-reactions between fish in the same family (see the tables I made) but to a lesser extent between fish from different groups.⁣
  • Studies show that, in this case, the cross-reactivity is moderate or small.⁣

If there were no specific allergens on the table I made, it is because none has been identified yet, though some proteins have been.⁣

Some main aspects to note are the following:⁣
  1. 𝐄𝐞𝐥 and 𝐜𝐨𝐝 likely cross-react⁣
  2. 𝐀𝐧𝐜𝐡𝐨𝐯𝐲 and 𝐜𝐨𝐝 cross-sensitivity is found in nearly 35% of children⁣
  3. 𝐀𝐧𝐜𝐡𝐨𝐯𝐲 has a high content of 𝘩𝘪𝘴𝘵𝘢𝘮𝘪𝘯𝘦, so some reactions might not be allergic⁣
  4. 𝐅𝐢𝐬𝐡 𝐠𝐞𝐥𝐚𝐭𝐢𝐧𝐞 is used in medication, like in 𝘷𝘢𝘤𝘤𝘪𝘯𝘦𝘴, but generally do not lead to a reaction in people who are allergic to fish⁣
  5. Fish allergies typically are 𝐥𝐢𝐟𝐞𝐥𝐨𝐧𝐠⁣

There are cases in which an apparent allergic reaction to fish has normal investigations.⁣
  • In some cases, this might be due to the presence of a parasite called 𝐀𝐧𝐢𝐬𝐚𝐤𝐢𝐬.⁣
  • Investigation for this parasite should be done through blood tests.⁣

Final note:⁣
Think of the fish in a 𝘧𝘪𝘴𝘩 𝘵𝘢𝘯𝘬!


www.facebook.com/permalink.php?story_fbid=319899903470561&id=100063516604410

Frog legs allergy
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    Dr Costa is a Consultant Paediatrician and fellow of the Royal College of Paediatrics and Child Health.

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