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Asia Pacific allergy v.8 no.2, 2018년, pp.e18 -    SCOPUS
본 등재정보는 저널의 등재정보를 참고하여 보여주는 베타서비스로 정확한 논문의 등재여부는 등재기관에 확인하시기 바랍니다.

Shellfish/crustacean oral allergy syndrome among national service pre-enlistees in Singapore

Thong, Bernard Yu-Hor    (Department of Rheumatology, Allergy and Immunology, Tan Tock Seng Hospital, Singapore 308433.   ); Arulanandam, Shalini    (Medical Classification Centre, Ministry of Defence, Singapore 109680.   ); Tan, Sze-Chin    (Department of Rheumatology, Allergy and Immunology, Tan Tock Seng Hospital, Singapore 308433.   ); Tan, Teck-Choon    (Department of Rheumatology, Allergy and Immunology, Tan Tock Seng Hospital, Singapore 308433.   ); Chan, Grace Yin-Lai    (Department of Rheumatology, Allergy and Immunology, Tan Tock Seng Hospital, Singapore 308433.   ); Tan, Justina Wei-Lyn    (Department of Rheumatology, Allergy and Immunology, Tan Tock Seng Hospital, Singapore 308433.   ); Yeow, Mark Chong-Wei    (Medical Classification Centre, Ministry of Defence, Singapore 109680.   ); Tang, Chwee-Ying    (Department of Rheumatology, Allergy and Immunology, Tan Tock Seng Hospital, Singapore 308433.   ); Hou, Jinfeng    (Department of Rheumatology, Allergy and Immunology, Tan Tock Seng Hospital, Singapore 308433.   ); Leong, Khai-Pang    (Department of Rheumatology, Allergy and Immunology, Tan Tock Seng Hospital, Singapore 308433.  );
  • 초록

    Background All Singaporean males undergo medical screening prior to compulsory military service. A history of possible food allergy may require referral to a specialist Allergy clinic to ensure that special dietary needs can be taken into account during field training and deployment. Objective To study the pattern of food allergy among pre-enlistees who were referred to a specialist allergy clinic to work up suspected food allergy. Methods Retrospective study of all pre-enlistees registered in the Clinical Immunology/Allergy New Case Registry referred to the Allergy Clinic from 1 August 2015 to 31 May 2016 for suspected food allergy. Results One hundred twenty pre-enlistees reporting food allergy symptoms other than rash alone were referred to the Allergy Clinic during the study period. Of these, 77 (64.2%) had food allergy. Among those with food allergy, mean age was 19.1 ± 1.5 years. They comprised predominantly Chinese (66.2%) and Malays (20.8%). The most commonly reported foods were shellfish/crustaceans (78%), peanut (15.6%), and egg (6.5%). Self-limiting oral allergy syndrome, OAS (itchy lips and throat with/without lip angioedema) was the most common manifestation (n = 33, 42.9%) followed by anaphylaxis (n = 23, 29.9%). Majority of OAS was from shellfish/crustacean (90.6%); of which shrimp (30.3%), crab (15.2%), and lobster (3.0%) were the most common. Mild childhood asthma (69.7%), allergic rhinitis (6.3%), and eczema (6.1%) were the most common atopic conditions among individuals with shellfish/crustacean OAS. This pattern was similar for shellfish/crustacean anaphylaxis. Skin prick tests were most commonly positive for shrimp (OAS 87.1% vs. anaphylaxis 100%), crab (OAS 95.8% vs. 90.9%), and lobster (OAS 91.7% vs. 63.6%). Conclusion OAS to shellfish/crustaceans was more common than anaphylaxis among this study population of young males referred for food allergy symptoms other than rash alone.


  • 주제어

    Anaphylaxis .   Hypersensitivity .   Shellfish.  

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