A CASE OF AN ALLERGIC REACTION DUE TO ANISAKIS SIMPLEX AFTER THE INGESTION OF SALTED FISH GUTS MADE OF SAGITTATED CALAMARI : ALLERGEN ANALYSIS WITH RECOMBINANT AND PURIFIED ANISAKIS SIMPLEX ALLERGENS

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  • Shigehira Yuki
    Department of Environmental Immuno-Dermatology, Yokohama City University Graduate School of Medicine
  • Inomata Naoko
    Department of Environmental Immuno-Dermatology, Yokohama City University Graduate School of Medicine
  • Nakagawara Ryoko
    Department of Environmental Immuno-Dermatology, Yokohama City University Graduate School of Medicine
  • Okawa Tomoko
    Department of Environmental Immuno-Dermatology, Yokohama City University Graduate School of Medicine
  • Sawaki Haruna
    Department of Environmental Immuno-Dermatology, Yokohama City University Graduate School of Medicine
  • Nakamura Kazuko
    Department of Environmental Immuno-Dermatology, Yokohama City University Graduate School of Medicine
  • Kobayashi Yukihiro
    Department of Food Science, Tokyo University of Marine Science and Technology
  • Shiomi Kazuo
    Department of Food Science, Tokyo University of Marine Science and Technology
  • Ikezawa Zenro
    Department of Environmental Immuno-Dermatology, Yokohama City University Graduate School of Medicine

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Other Title
  • スルメイカの塩辛摂取後に発症したアニサキスアレルギーの1例 : 精製及び組み換えアレルゲンを用いたアレルゲン解析を含めて
  • 症例報告 スルメイカの塩辛摂取後に発症したアニサキスアレルギーの1例--精製及び組み換えアレルゲンを用いたアレルゲン解析を含めて
  • ショウレイ ホウコク スルメイカ ノ シオカラ セッシュ ゴ ニ ハッショウ シタ アニサキスアレルギー ノ 1レイ セイセイ オヨビ クミ カエ アレルゲン オ モチイタ アレルゲン カイセキ オ フクメテ

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A 75-year-old man ingested salted fish guts made of Sagittated calamari which he caught in the daytime, with alcohol and then dozed. Five hours later, he woke up due to itching over his entire body and noticed generalized urticaria and a swollen tongue, which was too large for him to close his mouth. Serum total IgE was 456IU/ml and ImmunoCAP was positive for anisakis, but negative for squid, shrimp, and ascaris. A skin prick test (SPT) was positive for anisakis extract (10mg/ml) and house dust mites, but negative for squid and shrimp. He was diagnosed with IgE-mediated allergy due to Anisakis simplex after the ingestion of salted fish guts made of Sagittated calamari, which had been parasitized by Anisakis simplex. Furthermore, we performed SPT with six extracts of purified or recombinant allergens (Ani s 1,3,4,5,6, and 8) to identify the causative allergens in this case. Only Ani s 3 (tropomyosin) was positive, indicating that Ani s 3 was the causative allergen in this case. Third stage larvae of the nematode Anisakis simplex often parasitize not only marine fish but also invertebrates, including squid. It is necessary to consider Anisakis simplex allergy for urticarial reactions that develop after the ingestion of squid.

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