A case of immediate allergy to Anisakis following saury intake

Rina Kameyama, Akiko Yagami, Takashi Yamakita, Mamiko Nakagawa, Keizou Nagase, Hidetaka Ichikawa, Kayoko Matsunaga

Research output: Contribution to journalArticlepeer-review

4 Citations (Scopus)


We report here a 76-year-old male that presented with an immediate allergy to Anisakis following saury intake. Three and a half hours after eating pressed saury sushi, whole-body pomphus appeared including itching, facial dropsical swelling, and dyspnea. Diagnostic tests revealed specific IgE antibodies against anisakis simplex and a skin prick test was positive using an extraction of anisakis simplex. The results of skin prick tests using the body and internal organs of a saury were negative. Based on these results, we diagnosed the case as immediate allergy to Anisakis. Anisakis is parasitic to a diverse array of fish, and it seems rare that eating saury will induce an allergic response because the reported parasitic rate of Anisakis on saury is only 5%. In addition, as tropomyosin is currently considered to be the primary cause of allergies to Anisakis, renewed attention should be paid to other foods for which tropomyosin is also assumed to be a common antigen.

Original languageEnglish
Pages (from-to)1429-1432
Number of pages4
JournalJapanese Journal of Allergology
Issue number11
Publication statusPublished - 2006

All Science Journal Classification (ASJC) codes

  • General Medicine


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