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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. Lopata AL, et al. Shellfish allergy. Clinical & Experimental Allergy. 2010;40: 850.
  2. Lopata AL, et al. New insights into seafood allergy. Current Opinion in Allergy and Clinical Immunology. 2009;9:270.
  3. Sicherer SH. Seafood allergies: Fish and shellfish. http://www.uptodate.com/home/index.html. Accessed April 5, 2011.
  4. Atopic and allergic disorders. The Merck Manuals: The Merck Manual for Healthcare Professionals. http://www.merckmanuals.com/professional/sec13/ch165/ch165c.html?qt=seadfood%20allergy&alt=sh. Accessed April 8, 2011.
  5. Seafood allergy. American Academy of Allergy, Asthma & Immunology. http://www.aaaai.org/patients/advocate/2006/winter/seafood.asp. Accessed April 8, 2011.
  6. Kurowski K, et al. Food allergies: Detection and management. American Family Physician. 2008;77:1678.
DS00987 June 23, 2011

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