Adult seafood allergy in the Texas Medical Center: A 13-year experience

There is a paucity of data regarding prevalence and characteristics of adult seafood allergy in United States cohorts. This study was designed to determine the characteristics of patient-reported seafood allergy in a large allergy referral adult population. Retrospective analysis was performed of la...

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Main Authors: Faria Khan M.D., Frank Orson M.D., Yoshiko Ogawa M.D., Crystal Parker M.S., Carla McGuire Davis M.D.
Format: Article
Language:English
Published: SAGE Publishing 2011-04-01
Series:Allergy & Rhinology
Online Access:https://doi.org/10.2500/ar.2011.2.0019
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author Faria Khan M.D.
Frank Orson M.D.
Yoshiko Ogawa M.D.
Crystal Parker M.S.
Carla McGuire Davis M.D.
author_facet Faria Khan M.D.
Frank Orson M.D.
Yoshiko Ogawa M.D.
Crystal Parker M.S.
Carla McGuire Davis M.D.
author_sort Faria Khan M.D.
collection DOAJ
description There is a paucity of data regarding prevalence and characteristics of adult seafood allergy in United States cohorts. This study was designed to determine the characteristics of patient-reported seafood allergy in a large allergy referral adult population. Retrospective analysis was performed of laboratory and clinical characteristics of seafood-allergic patients in three allergy clinics in the Texas Medical Center between January 1,1997 and January 30,2010. Of 5162 patients seen in this adult allergy referral population, 159 had physician-diagnosed seafood allergy with an average age of diagnosis of 50.2 (18–81 years) years. Shellfish allergy (59.1%) was more frequent than fish allergy (13.8%). Crustacean allergy (82.6%) was more frequent than mollusk allergy (7.2%). Shrimp (72.5%), crab (34.8%), and lobster (17.4%) were the most common shellfish allergies and tuna (28.6%), catfish (23.8%), and salmon (23.8%) were the most common fish allergies. One-third of seafood-allergic patients reported reactions to more than one seafood. Shellfish-allergic adults were more likely to experience respiratory symptoms than fish-allergic adults (p < 0.05). The likelihood of having anaphylaxis (32%) was not statistically different between shellfish- and fish-allergic subjects. Severe reactions were 12.9 times more likely to occur within the 1st hour of ingestion compared with nonsevere reactions (p < 0.005). The percentage of seafood allergy in this adult allergy referral population was 3.08%.
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spelling doaj.art-5fc00a0091f04a4eae9a286bc249f0ce2022-12-22T01:27:42ZengSAGE PublishingAllergy & Rhinology2152-65672011-04-01210.2500/ar.2011.2.0019Adult seafood allergy in the Texas Medical Center: A 13-year experienceFaria Khan M.D.0Frank Orson M.D.1Yoshiko Ogawa M.D.2Crystal Parker M.S.3Carla McGuire Davis M.D.4Department of Pediatrics, Baylor College of Medicine, Texas Medical Center, Houston, TexasDepartment of Pediatrics, Baylor College of Medicine, Texas Medical Center, Houston, TexasDepartment of Pediatrics, Baylor College of Medicine, Texas Medical Center, Houston, TexasDepartment of Pediatrics, Baylor College of Medicine, Texas Medical Center, Houston, TexasDepartment of Pediatrics, Baylor College of Medicine, Texas Medical Center, Houston, TexasThere is a paucity of data regarding prevalence and characteristics of adult seafood allergy in United States cohorts. This study was designed to determine the characteristics of patient-reported seafood allergy in a large allergy referral adult population. Retrospective analysis was performed of laboratory and clinical characteristics of seafood-allergic patients in three allergy clinics in the Texas Medical Center between January 1,1997 and January 30,2010. Of 5162 patients seen in this adult allergy referral population, 159 had physician-diagnosed seafood allergy with an average age of diagnosis of 50.2 (18–81 years) years. Shellfish allergy (59.1%) was more frequent than fish allergy (13.8%). Crustacean allergy (82.6%) was more frequent than mollusk allergy (7.2%). Shrimp (72.5%), crab (34.8%), and lobster (17.4%) were the most common shellfish allergies and tuna (28.6%), catfish (23.8%), and salmon (23.8%) were the most common fish allergies. One-third of seafood-allergic patients reported reactions to more than one seafood. Shellfish-allergic adults were more likely to experience respiratory symptoms than fish-allergic adults (p < 0.05). The likelihood of having anaphylaxis (32%) was not statistically different between shellfish- and fish-allergic subjects. Severe reactions were 12.9 times more likely to occur within the 1st hour of ingestion compared with nonsevere reactions (p < 0.005). The percentage of seafood allergy in this adult allergy referral population was 3.08%.https://doi.org/10.2500/ar.2011.2.0019
spellingShingle Faria Khan M.D.
Frank Orson M.D.
Yoshiko Ogawa M.D.
Crystal Parker M.S.
Carla McGuire Davis M.D.
Adult seafood allergy in the Texas Medical Center: A 13-year experience
Allergy & Rhinology
title Adult seafood allergy in the Texas Medical Center: A 13-year experience
title_full Adult seafood allergy in the Texas Medical Center: A 13-year experience
title_fullStr Adult seafood allergy in the Texas Medical Center: A 13-year experience
title_full_unstemmed Adult seafood allergy in the Texas Medical Center: A 13-year experience
title_short Adult seafood allergy in the Texas Medical Center: A 13-year experience
title_sort adult seafood allergy in the texas medical center a 13 year experience
url https://doi.org/10.2500/ar.2011.2.0019
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