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  • Open Access

Allergy manifestations to fish in younger children

  • Adnan Bajraktarevic1,
  • Faruk Alendar2,
  • Elvedin Landzo3,
  • Armina Rovcanin3,
  • Emina Beslagic4,
  • Lejla Kumasin1,
  • Elvira Lokmic1,
  • Amira Skopljak1,
  • Zijo Begic5,
  • Amina Selimovic5,
  • Lutvo Sporisevic6,
  • Branka Djukic6 and
  • Alisa Abduzaimovic7
Clinical and Translational Allergy20155(Suppl 3):P163

https://doi.org/10.1186/2045-7022-5-S3-P163

Published: 30 March 2015

Keywords

DiarrheaPreschool ChildFood AllergyUrticariaFreshwater Fish

Introduction

Allergy to fish is relatively common in children. In addition to skin manifestations are present and the sensitivity of the intestine, with diarrhea and present the general weakness of the child.

Aims

The aim of this study was to evaluate this allergic manifestation in the youngest population, regardless of whether they are allergy to fish originated from the sea or river or lake.

Methods

Data were collected to determine the preschool children patients' allergies documented in the medical record. Four hundred and fifty two children with at least one documented food allergy and thirty seven (8.19%) children who had a fish allergy while hospitalized or during exanimations and curing in pediatrics primary practice for seven years period from 2007 to 2014 in Sarajevo.

Results

Dermatologic signs and symptoms were the most common in 31 cases (83.78%). Urticaria were seen in less than a fifth of 7 cases in preschool children of all signs on skin. Also seen were erythema 18.91 %, face or lip swelling 10.81%, extremity edema 8.11%, pruritis 67.57%, and other rashes 45,94% . Second were gastrointestinal (nausea, vomiting, and abdominal pain), third neurologic (aura, irritability, lethargy, disorientation, dizziness, tremor, syncope, and seizure), and fourth cardiovascular (hypotension, hypoperfusion, tachycardia, bradycardia, and asystole) initial manifestations were much less common in 5.41% in children. Respiratory abnormalities were the last were most often observed initial signs and symptoms in 2.70%.

Conclusions

Allergic reactions to fish in children is a very serious issue which has to be approached systematically and promptly for treatment. No significant differences in the clinical presentation and treatment between freshwater fish and marine fish. In Bosnia and Herzegovina are not described fatal reactions in children from an allergy to fish in this seven-year period.

Authors’ Affiliations

(1)
Pediatrics Department, Public Health Institution of Health Center Sarajevo, Sarajevo, Bosnia and Herzegovina
(2)
Dermatologic Clinic, Sarajevo, Bosnia and Herzegovina
(3)
Clinical Medical Center Sarajevo, Sarajevo, Bosnia and Herzegovina
(4)
Pharmaceutical Faculty Sarajevo Department for Pharmacology, Sarajevo, Bosnia and Herzegovina
(5)
Pediatrics Clinic Sarajevo, Sarajevo, Bosnia and Herzegovina
(6)
Pediatrics Department, First Medical Aid New Sarajevo, Sarajevo, Bosnia and Herzegovina
(7)
Biochemical Allerology Laboratory Tesanj, Tesanj, Bosnia and Herzegovina

Copyright

© Bajraktarevic et al; licensee BioMed Central Ltd. 2015

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

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