From delicacy to danger: The rising tide of shellfish allergies in children revealed Shellfish Allergies Immunotherapy ClinicalManagement AllergicReactions FoodAllergies ResearchReview Nutrients_MDPI
By Neha MathurJun 13 2023Reviewed by Benedette Cuffari, M.Sc. Shellfish include various mollusks, oysters, and crustaceans that are highly rich in antioxidants, protein, and omega-3 fatty acids. Following the rise in shellfish consumption rates throughout the world, a corresponding increase in shellfish allergy rates has also increased.
The second EuroPrevall-INCO survey study comprised children aged six to 11 years from Russia, India, and China. The percentage of children with shrimp allergen-specific IgE values exceeding 0.70 kUA/L was 13.1%, 10.3%, and 4.7% in Shaoguan, India, and Hong Kong, respectively. Immunoglobulin E -mediated allergic reactions occurring within nearly two hours after shellfish consumption in children manifests as urticaria, angioedema, nausea, and respiratory problems, such as bronchospasm, laryngeal edema, and anaphylaxis.
Taxonomic classification of shellfish species within the Crustacea subphylum and the Mollusca phylum. Related StoriesDiagnosis also depends on other considerations. For example, most patients experience allergic signs and symptoms upon ingestion; however, skin contact or inhalation of aerosolized allergens during cooking might also cause allergic reactions.
Some non-adverse immunologic reactions occurring later than two hours manifest as gastrointestinal and neurologic symptoms. Thus, even in the differential diagnosis of shellfish allergy, first-line diagnostic tests are SPT and sIgE after obtaining the patient’s clinical history. Double-blind placebo-controlled oral food challenge remains the gold standard diagnostic method for shellfish allergy.
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