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Spedific and total IgE in patients with recurrent, acute urticaria caused by anisakis simplex

Title: Spedific and total IgE in patients with recurrent, acute urticaria caused by anisakis simplex
Authors : Perteguer, M. J.
Chivato Pérez, Tomás
Montoro, A.
Cuéllar, Carmen
Mateos, José María
Laguna, Rafael
Keywords: Anisakiosis.Pescado - Reacción alérgica.
Abstract: Titres of parasite-specific IgE were investigated in 19 patients thought to have recurrent, acute mticaria caused by sensitization to Anisakis simplex (Dujardin, 1845), before and after they were placed on a fish-free diet. Patients with other allergic disease and those being treated with corticosteroids or antihistaminics were excluded. Skin-prick tests were carried out with A. simplex extract, and blue- and white-fish extracts. The CAP system (Pharmacia), a commercial test kit developed for the assay of food-specific IgE, was used to monitor serum concentrations of total IgE and antigen-specific IgE against Anisakis, Ascaris, Echinococcus, Toxocara, tuna, salmon, shrimp, mussel and cod. Before going on a fish-free diet, the 19 patients had CAP scores against A. simplex of 5 (three cases), 3 (seven) or 2 (nine). After a mean of 120 days on the diet, the scores against A. simplex were unchanged in 15 of the cases, reduced in three [from 5 to 4 (one case) or from 2 to O (two cases)] and increased in one (from 2 to 3). Most (16) of the patients no longer had any urticaria and the others reported significant reductions in the intensity and frequency of their symptoms.
Description: Artículo en colaboración : M.J. Perteguer, A. Montoro, C. Cuéllar, J.M. Mateos y R. Laguna.
En: Annals of Tropical Medicine and Parasitology. ISSN 0003-4983. vol. 94, n. 3, 2000, págs 259-268.
URI: http://hdl.handle.net/10637/5586
Rights : http://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
Issue Date: 13-Nov-2000
Center : Universidad San Pablo-CEU
Appears in Collections:Medicina





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