Immediate Hypersensitivity to Marine Snail (Cerithidea obtusa) Allergen among Local Patients with Atopic Diseases
Keywords:
allergy, snail, cerithidea obtusa, skin prick test, cross-reactivityAbstract
Snail allergy is rare, but it can lead to severe allergic reactions. Life-threatening reactions including anaphylactic shock have been often reported after snail consumption. Cerithidea obtusa is a commonly consumed sea snail in Malaysia and other Asian countries. The purpose of this study was to determine the frequency of immediate hypersensitivity reactions to this species of snail by skin prick test (SPT). Snail proteins were extracted from the snail flesh. A total of 131 patients with atopic diseases were skin prick tested with the snail extract. Out of 131 subjects, 10 (8%) were sensitized to C. obtusa extract. Most of these subjects are allergic rhinitis (70%), allergic conjunctivitis (60%), asthma (20%) and food allergic (20%) patients. As a conclusion, this study showed that the immediate hypersensitivity to marine snail, C. obtusa exists among local atopic patients at a low frequency of 8%. It seems like a patient with C. obtusa sensitization is also probably to be sensitized to other shellfish.
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References
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Allergy, Asthma and Immunology Research, 8(2), 101-106.
Hajian-Tilaki, K. (2011). Sample size estimation in epidemiologic studies. Caspian Journal of Internal Medicine, 2(4): 289-298
Taylor, S. L. (2008). Molluscan shellfish allergy. Advances in Food Nutrition Research, 54, 140-177.
Pawankar, R., Bunnag, C., Chen, Y., Fukuda, T., Kim, Y., Le, L. T., Huong, T.T., O'Hehir, R.E., Ohta, K., Vichyanond, P., Wang, D.Y., Zhong, N., Khaltaev, N., Bousquet, J. (2009). Allergic rhinitis and its impact on asthma update (ARIA 2008) – western and asian-pacific perspective. Asian Pacific journal of Allergy and Immunology, 27, 237-243.
Zailatul Hani, M. Y., Rosmilah, M., Noormalin, A., Faizal, B., Noormalin, A., Hanisom, A., Shahnaz, M. (2015). Production of allergen extracts for bivalve allergy diagnosis using skin prick test. Journal of Allergy and Therapy, 6(4), 1-7.
Hamli, H., Idris, M. H., Abu Hena, M. K., Wong, S. K., Arshad, A. (2013). Checklist and habitat descriptions of edible gastropods from Sarawak, Malaysia. Journal of Fisheries and Aquatic Science, 8(2), 412-418.
Martins, L., Pires, E., Ináicio F. (2009). CD4 T-Cell Cytokine response to mite recombinant tropomyosin in mite, snail and shrimp allergic patients. The Internet Journal of Asthma, Allergy and Immunology, 7(1), 1-22.
Bessot, J. C., Metz-Favre, C., Rame, J. M., De Blay, F., Pauli, G. (2010). Tropomyosin or not tropomyosin, what is the relevant allergen in house dust mite and snail cross allergies?. European Annals of Allergy and Clinical Immunology, 42(1), 3-10.
Shek, L.P., Cabrera-Morales, E.A., Soh, S.E., Gerez, I., Ng, P.Z., Yi. F.C., Ma. S., Lee, B.W. (2010). A population-based questionnaire survey on the prevalence of peanut, tree nut, and shellfish allergy in 2 Asian populations. Journal of Allergy and Clinical Immunology, 126(2):324-331.
Pourhoseingholi, M. A., Vahedi, M., Rahimzadeh, M. (2013). Sample size calculation in medical studies. Gastroenterology and Hepatology from Bed to Bench, 6 (1), 14-17.
Asha’ari, Z. A., Yusof, S., Ismail., R., Che Hussin, C. M. (2010). Clinical features of allergic rhinitis and skin prick test analysis based on the ARIA classification: a preliminary study in Malaysia. Annals, Academy of Medicine, Singapore, 39(8), 619-24.
Ibekwe, P. U., Ibekwe, T. S. (2016). Skin prick test analysis in allergic rhinitis patients: a preliminary study in
Abuja, Nigeria. Journal of Allergy, 2016, 1-5.
Pefura-Yone, E. W., Kengne, A. P., Balkissou, A. D., Boulleys-Nana, J. R., Efe-de-Melingui, N. R., Ndjeutcheu-Moualeu, P. I., et al. (2015) Prevalence of asthma and allergic rhinitis among adults in Yaounde, Cameroon. PLoS ONE, 10(4), 1-15.
Zhang, Y., Zhang, L. (2014). Prevalence of allergic rhinitis in China. Allergy, Asthma and Immunology Research, 6(2), 105-113.
Lopata, A. L., Kamath, S. (2012). Shellfish allergy diagnosis- gaps and needs. Current Allergy of Clinical
Immunology, 25, 60-66.
Lim, F. L., Hashim, Z., Than, L. T. L., Md Said, S., Hisham Hashim, J., Norback, D. (2015). Asthma, airway symptoms and rhinitis in office workers in Malaysia: associations with house dust mite (HDM) allergen in office dust. PLoS ONE, 10(4), 1-21.
Mahram, M., Barikani, A., Nejatian, N. (2013). The frequency of common allergens in allergic rhinitis among
the patients referred to the Allergy Clinic of Qods Hospital in Qazvin during 2007-2010. Journal of Allergy and
Therapy, 4(1), 1-5.
Andiappan, A. K., Puan, K. J., Lee, B., Nardin, A., Poidinger, M., Connolly, J., Chew, F. T., Wang, D. Y., Rotzschke, O. (2014). Allergic airway diseases in a tropical urban environment are driven by dominant monospecific
sensitization against house dust mites. Allergy, 69, 501-509.
Ayuso, R., Reese, G., Leong-Kee, S., Plantae, M., Lehrer, S. B. (2002). Molecular basis of arthropod crossreactive
epitopes of shrimps, house dust mite and cockroach tropomyosins. International Archives of Allergy and Immunology, 129, 38-48.
Pajno, G. B., Grutta, S. L., Barberio, G., Canonica, G. W., Passalacqua, G. (2002). Harmful effect of immunotherapy in children with combined snail and mite allergy. Journal of Allergy and Clinical Immunology, 109(4), 627-629.
Rubaba, H. S., Muhammad Inam, Muhammad Ismail, Farhana, R.C. (2012). Group 10 allergens (tropomyosins)
from house-dust mites may cause covariation of sensitization to allergens from other invertebrates. Allergy and
Rhinology, 3(2), 74-90.
Wong, L., Huang, C. H., Lee, B. H. (2016). Shellfish and house dust mite allergies: is the link tropomyosin?.
Allergy, Asthma and Immunology Research, 8(2), 101-106.
Hajian-Tilaki, K. (2011). Sample size estimation in epidemiologic studies. Caspian Journal of Internal Medicine, 2(4): 289-298
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Published
2016-12-15
How to Cite
Abd Aziz, N. S., Misnan, R., Mohamad Yadzir, Z. H., Bakhtiar, F., Abdullah, N., & Murad, S. (2016). Immediate Hypersensitivity to Marine Snail (Cerithidea obtusa) Allergen among Local Patients with Atopic Diseases. EDUCATUM Journal of Science, Mathematics and Technology, 3(2), 22–30. Retrieved from https://ejournal.upsi.edu.my/index.php/EJSMT/article/view/49
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