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Complications

By Mayo Clinic staff

In severe cases, shellfish allergy can lead to anaphylaxis, a dangerous allergic reaction marked by a swollen throat (airway constriction), rapid pulse, shock, and dizziness or lightheadedness. Anaphylaxis can be life-threatening.

When you have shellfish allergy, you may be at increased risk of anaphylaxis if:

  • You have asthma
  • You have allergic reactions to very small amounts of shellfish (extreme sensitivity)
  • You have a history of food-induced anaphylaxis

Anaphylaxis can be treated with an emergency injection of epinephrine (adrenaline). If you are at risk of having a severe allergic reaction to shellfish, you should carry injectable epinephrine (such as an EpiPen) with you at all times.

References
  1. Sicherer SH. Seafood allergies: Fish and shellfish. http://www.uptodate.com/home/index.html. Accessed April 22, 2009.
  2. Sampson HA. Food-induced anaphylaxis. http://www.uptodate.com/home/index.html. Accessed April 22, 2009.
  3. Sicherer SH. Food allergen avoidance. http://www.uptodate.com/home/index.html. Accessed April 22, 2009.
  4. Burks W. Clinical manifestations of food allergy. http://www.uptodate.com/home/index.html. Accessed April 22, 2009.
  5. Wood R. The natural history of childhood food allergy. http://www.uptodate.com/home/index.html. Accessed April 22, 2009.
  6. James JM, et al. Respiratory manifestations of food allergy. http://www.uptodate.com/home/index.html. Accessed April 22, 2009.
  7. Marcus EN. Marine toxins. http://www.uptodate.com/home/index.html. Accessed April 22, 2009.
  8. Burks W. History and physical examination in the patient with possible food allergy. http://www.uptodate.com/home/index.html. Accessed April 22, 2009.
  9. Burks W. Diagnostic tools for food allergy. http://www.uptodate.com/home/index.html. Accessed April 22, 2009.
  10. Seafood allergy. American Academy of Allergy, Asthma & Immunology. http://www.aaaai.org/patients/advocate/2006/winter/seafood.asp. Accessed April 22, 2009.
  11. Seafood allergy. Asthma and Allergy Foundation of America. http://www.aafa.org/display.cfm?id=9&sub=20&cont=518. Accessed April 22, 2009.

DS00987

June 25, 2009

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