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Latest / Hope & Histamine: The Paediatric Allergy Podcast

Allergic Reactions to Anisakis in Fish: Symptoms, Diagnosis & Prevention

Ever had a patient (or child) react to fish even when it’s been properly cooked—and the story just doesn’t fit a classic “fish allergy”? This episode dives into Anisakis: the tiny parasitic worm found in marine fish and squid that can trigger allergic reactions ranging from hives and swelling to anaphylaxis—sometimes even without active infection.

We break down:

What Anisakis is and which fish are most commonly implicated

How reactions can mimic (or coexist with) true fish/seafood allergy

Typical symptoms: urticaria, angioedema, wheeze, GI pain, and severe reactions

The key clinical clues in…

The skinny

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