Случай на токсоалергия след прием на морски продукти
Keywords:
токсоалергична реакция, ангионевротичен оток, уртикария, гастро-интестинален синдром
Abstract
Токсоалергичните реакции към морски продукти не са рядко явление. Тяхната патогенеза и клинична изява обаче са твърде разнообразни и недокрай проучени. В едни от случаите преобладават алергични, в други – неалергични, а има и случаи в които клиничните симптоми са израз на съчетание от фактори и механизми. Това създава затруднение при определянето на адекватна терапевтична схема, а при прояви на анафилаксия всяко забавяне е свързано с повишаване на риска от фатален изход.
Представеният случай, при който се съчетават проявите на ангионевротичен оток с уртикария и иритативен гастро-интестинален синдром разширява познанията на специалистите алерголози и токсиколози за този тип токсоалергични реакции.
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Zingale LC, Castelli R, Zanichelli A et al. Acquired deficiency of the inhibitor of the first complement component: presentation, diagnosis, course, and conventional management. Immunol Allergy Clin North Am 2006, 26:669-690.
Cugno M, Zanichelli A, Foieni F et al. C1-inhibitor deficiency and angioedema: molecular mechanisms and clinical progress. Trends Mol Med 2009, 15:69-78.
Byrd JB, Adam A, Brown NJ. Angiotensin-converting enzyme inhibitorassociated angioedema. Immunol Allergy Clin North Am 2006, 26:725-37.
Banerji A, Sheffer AL. The spectrum of chronic angioedema. Allergy Asthma Proc 2009, 30:11-6.
Frigas E, Park M. Idiopathic recurrent angioedema. Immunol Allergy Clin North Am 2006, 26:739-51.
Sicherer SH, Muñoz-Furlong A, Sampson HA. Prevalence of seafood allergy in the United States determined by a random telephone survey. J Allergy Clin Immunol. 2004 Jul;114(1):159-65.
Pino Rivero V, Rodríguez Carmona M, Iglesias González RJ, et al. Facial and oropharyngeal angioedema in patient with alimentary fish allergy. Diagnosis and treatment. An Otorrinolaringol Ibero Am. 2007;34(5):459-64.
Calder D, Calder J. Fish allergy causing angioedema and secondary angleclosure glaucoma. BMJ Case Rep. 2013 Mar 6;2013. pii: bcr2012007691.
Taylor SL, Stratton JE, Nordlee JA. Histamine poisoning (scombroid fish poisoning): an allergy-like intoxication. J Toxicol Clin Toxicol. 1989;27(4-5):225-40.
Lehane L, Olley J. Histamine fish poisoning revisited. Int J Food Microbiol. 2000 Jun 30;58(1-2):1-37.
Wu ML, Yang CC, Yang GY et al. Scombroid fish poisoning: an overlooked marine food poisoning. Vet Hum Toxicol. 1997 Aug;39(4):236-41.
Taylor SL. Histamine food poisoning: toxicology and clinical aspects. Crit Rev Toxicol. 1986;17(2):91-128.
Morrow JD, Margolies GR, Rowland J et al. Evidence that histamine is the causative toxin of scombroid-fish poisoning. N Engl J Med. 1991 Mar 14;324(11):716-20.
Iovcheva M, Petrova S. Histidine intoxication – a description of 3 group scombroid poisonings,Second National Congress of Clinical Toxicology, 12-14 october 2006, Sofia, Bulgaria, Abstracts (54).
Sánchez-Borges М, Asero R. Diagnosis and Treatment of Urticaria and Angioedema: A Worldwide Perspective. WAO Journal 2012; 5:125–147.
Epocrates Online. Urticaria and angioedema. Available at: https:// online.epocrates.com/u/2951844/Urticaria+and+angioedema/ FollowUp/Overview. Accessed August 30, 2011.
Kaplan AP. Angioedema. WAO Journal 2008;103-1133.
Zweiman B, Haralabatos I, Pham N, et al. Sequential patterns of inflammatory events during developing and expressed skin late-phase reactions. J Allergy Clin Immunol. 2000;105:776Y781.
Leznoff A, Josse R, Denburg J, et al. Association of chronic urticaria and angioedema with thyroid autoim. Arch Dermatol. 1983;119:636Y640.
Leznoff A, Sussman G. Syndrome of idiopathic chronic urticaria and angioedema with thyroid autoimmunity: a study of 90 patients. J Allergy Clin Immunol. 1989;84:66Y71.
Pigman E, Scott J. Angioedema in the emergency department: the impact of angiotensin-converting enzyme inhibitors. Am J Emerg Med. 1993;11:350Y354.
Erdos E. Conversion of angiotensin I to angiotensin II. Am J Med. 1976;60:749Y759.
Nussberger J, Cugno M, Amstutz C et al. Plasma bradykinin in angioedema. Lancet. 1998;351:1693Y1697.
Kanani et al. Allergy, Asthma & Clinical Immunology 2011, 7(Suppl 1):S9.
Zingale LC, Castelli R, Zanichelli A et al. Acquired deficiency of the inhibitor of the first complement component: presentation, diagnosis, course, and conventional management. Immunol Allergy Clin North Am 2006, 26:669-690.
Cugno M, Zanichelli A, Foieni F et al. C1-inhibitor deficiency and angioedema: molecular mechanisms and clinical progress. Trends Mol Med 2009, 15:69-78.
Byrd JB, Adam A, Brown NJ. Angiotensin-converting enzyme inhibitorassociated angioedema. Immunol Allergy Clin North Am 2006, 26:725-37.
Banerji A, Sheffer AL. The spectrum of chronic angioedema. Allergy Asthma Proc 2009, 30:11-6.
Frigas E, Park M. Idiopathic recurrent angioedema. Immunol Allergy Clin North Am 2006, 26:739-51.
Sicherer SH, Muñoz-Furlong A, Sampson HA. Prevalence of seafood allergy in the United States determined by a random telephone survey. J Allergy Clin Immunol. 2004 Jul;114(1):159-65.
Pino Rivero V, Rodríguez Carmona M, Iglesias González RJ, et al. Facial and oropharyngeal angioedema in patient with alimentary fish allergy. Diagnosis and treatment. An Otorrinolaringol Ibero Am. 2007;34(5):459-64.
Calder D, Calder J. Fish allergy causing angioedema and secondary angleclosure glaucoma. BMJ Case Rep. 2013 Mar 6;2013. pii: bcr2012007691.
Taylor SL, Stratton JE, Nordlee JA. Histamine poisoning (scombroid fish poisoning): an allergy-like intoxication. J Toxicol Clin Toxicol. 1989;27(4-5):225-40.
Lehane L, Olley J. Histamine fish poisoning revisited. Int J Food Microbiol. 2000 Jun 30;58(1-2):1-37.
Wu ML, Yang CC, Yang GY et al. Scombroid fish poisoning: an overlooked marine food poisoning. Vet Hum Toxicol. 1997 Aug;39(4):236-41.
Taylor SL. Histamine food poisoning: toxicology and clinical aspects. Crit Rev Toxicol. 1986;17(2):91-128.
Morrow JD, Margolies GR, Rowland J et al. Evidence that histamine is the causative toxin of scombroid-fish poisoning. N Engl J Med. 1991 Mar 14;324(11):716-20.
Published
2016-03-15
How to Cite
1.
Дерменджиев С. Случай на токсоалергия след прием на морски продукти. Редки болести и лекарства сираци [Internet]. 2016Mar.15 [cited 2024Apr.18];7(1):6-. Available from: http://journal.raredis.org/index.php/RBLS/article/view/46
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