IgE-mediated gastroallergic anisakiasis with eosinophilic oesophagitis: a case report.
| Autor: | Decruyenaere P; Department of Hematology, Ghent University Hospital, Ghent, Belgium., Van de Maele B; Department of Dermatology, Ghent University Hospital, Ghent, Belgium., Hulstaert E; Department of Dermatology, Ghent University Hospital, Ghent, Belgium., Van Vlierberghe H; Department of Gastroenterology and Hepatology, Ghent University Hospital, Ghent, Belgium., Decruyenaere J; Department of Intensive Care Medicine, Ghent University Hospital, Ghent, Belgium., Lapeere H; Department of Dermatology, Ghent University Hospital, Ghent, Belgium. |
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| Jazyk: | angličtina |
| Zdroj: | Acta clinica Belgica [Acta Clin Belg] 2022 Apr; Vol. 77 (2), pp. 396-399. Date of Electronic Publication: 2020 Sep 24. |
| DOI: | 10.1080/17843286.2020.1822627 |
| Abstrakt: | Background: Anisakiasis is an emerging zoonosis caused by the fish parasitic nematode Anisakis infecting the gastrointestinal tract. Case Presentation: We describe a case of a 58-year-old woman diagnosed with gastro-allergic anisakiasis, in which the patient developed an acute food-induced IgE-mediated hypersensitivity reaction as well as concurrent gastro-intestinal manifestations after consumption of raw fish. The patient presented with epigastric pain, anaphylaxis and acute dysphagia caused by eosinophilic oesophagitis. Discussion: Anisakis allergy should be considered as causative agent in patients presenting with acute urticarial rash, anaphylaxis and/or abdominal manifestations, especially when symptoms occur after consumption of seafood. Moreover, eosinophilic oesophagitis may be a rare but important complication of Anisakis infection. Endoscopic evaluation with esophageal biopsies should therefore be considered if suggestive symptoms are present. Patients with confirmed gastroallergic anisakiasis are advised to properly freeze or cook fish prior to consumption, although caution is advised, since heat-stable allergen proteins have been described. An adrenaline auto-injector should be prescribed. |
| Databáze: | MEDLINE |
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