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Contemporary issues in food allergy: seafood toxin-induced disease in the differential diagnosis of allergic reactions.
Allergy Asthma Proc. 2005 May-Jun; 26(3):183-90.AA

Abstract

Seafood, including fish, shrimp, lobster, crab, crayfish, mussel, and clam are among the most frequent causes of food allergy. Seafood poisoning, including reactions to natural toxins, frequently masquerades as an allergic reaction on presentation. Ingestion of contaminated shellfish results in a wide variety of symptoms, depending on the toxins present, their concentrations in the shellfish, and the amount of contaminated shellfish consumed. Five types of shellfish poisoning have been identified clearly including paralytic, neurotoxic, diarrhetic, amnestic, and azaspiracid shellfish poisonings. Based on the presence or absence of the toxin at the time of capture, fish poisoning can be considered conceptually in two categories. In ciguatera and puffer fish poisoning, the toxin is present in live fish, whereas in scombroid, it is produced only after capture, in the fish flesh, by contaminating bacteria because of improper refrigeration. Most shellfish-associated illness is infectious in nature (bacterial or viral), with the Norwalk virus accounting for most cases of gastroenteritis.

Authors+Show Affiliations

Department of Medicine and Pediatrics, Allina Medical Clinic, Cokato, Minnesota, USA.No affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

16119031

Citation

Chegini, Soheil, and Dean D. Metcalfe. "Contemporary Issues in Food Allergy: Seafood Toxin-induced Disease in the Differential Diagnosis of Allergic Reactions." Allergy and Asthma Proceedings, vol. 26, no. 3, 2005, pp. 183-90.
Chegini S, Metcalfe DD. Contemporary issues in food allergy: seafood toxin-induced disease in the differential diagnosis of allergic reactions. Allergy Asthma Proc. 2005;26(3):183-90.
Chegini, S., & Metcalfe, D. D. (2005). Contemporary issues in food allergy: seafood toxin-induced disease in the differential diagnosis of allergic reactions. Allergy and Asthma Proceedings, 26(3), 183-90.
Chegini S, Metcalfe DD. Contemporary Issues in Food Allergy: Seafood Toxin-induced Disease in the Differential Diagnosis of Allergic Reactions. Allergy Asthma Proc. 2005 May-Jun;26(3):183-90. PubMed PMID: 16119031.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Contemporary issues in food allergy: seafood toxin-induced disease in the differential diagnosis of allergic reactions. AU - Chegini,Soheil, AU - Metcalfe,Dean D, PY - 2005/8/27/pubmed PY - 2005/10/14/medline PY - 2005/8/27/entrez SP - 183 EP - 90 JF - Allergy and asthma proceedings JO - Allergy Asthma Proc VL - 26 IS - 3 N2 - Seafood, including fish, shrimp, lobster, crab, crayfish, mussel, and clam are among the most frequent causes of food allergy. Seafood poisoning, including reactions to natural toxins, frequently masquerades as an allergic reaction on presentation. Ingestion of contaminated shellfish results in a wide variety of symptoms, depending on the toxins present, their concentrations in the shellfish, and the amount of contaminated shellfish consumed. Five types of shellfish poisoning have been identified clearly including paralytic, neurotoxic, diarrhetic, amnestic, and azaspiracid shellfish poisonings. Based on the presence or absence of the toxin at the time of capture, fish poisoning can be considered conceptually in two categories. In ciguatera and puffer fish poisoning, the toxin is present in live fish, whereas in scombroid, it is produced only after capture, in the fish flesh, by contaminating bacteria because of improper refrigeration. Most shellfish-associated illness is infectious in nature (bacterial or viral), with the Norwalk virus accounting for most cases of gastroenteritis. SN - 1088-5412 UR - https://www.unboundmedicine.com/medline/citation/16119031/Contemporary_issues_in_food_allergy:_seafood_toxin_induced_disease_in_the_differential_diagnosis_of_allergic_reactions_ L2 - https://medlineplus.gov/foodallergy.html DB - PRIME DP - Unbound Medicine ER -
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