Abstract

A cook’s mate working in an Austrian restaurant reported acutely occurring urticarial skin lesions after processing and cooking squid. The prick-to-prick test with squid showed a ++ positive urticarial reaction. Elevated specific IgE antibody levels to squid, shrimp, and house dust mites as well as to tropomyosin from shrimp and house dust mite could be detected in the ImmunoCAP. By means of immunoblot and ELISA, a reaction to squid extract as well as increased IgE antibody levels to squid and tropomyosin from squid could be detected. The patient was diagnosed with a clinically and occupationally relevant type I allergy to squid with cross-reaction to tropomyosin of other invertebrates and therefore recognized as an occupational disease.

Author Details

Authors

• Daniel Wilfinger¹
• Annette Kuehn²
• Szandra Takacs¹
• Evgenia Galli-Novak¹
• Barbara Machan¹
• Werner Aberer³

Departments

• ¹ Department of Occupational Diseases and Occupational Medicine, AUVA Rehabilitation Clinic Tobelbad, Tobelbad, Austria,
• ² Department of Infection and Immunity, Luxembourg Institute of Health, Luxemburg, and
• ³ Department of Dermatology and Venerology, Medical University Graz, Graz, Austria

Address

Dr. med. univ. Daniel Wilfinger, Department of Occupational Diseases and Occupational Medicine, AUVA Rehabilitation Clinic Tobelbad, Tobelbad, Austria, Dr.-Georg-Neubauer-Straße 6, 8144 Tobelbad, Austria
Email: [email protected]

Citation