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The Utility of Serum Tryptase in the Diagnosis of Shrimp- Induced Anaphylaxis

Not Applicable
Completed
Conditions
Food (Shrimp) Allergy
Interventions
Procedure: shrimp challenge
Registration Number
NCT01619605
Lead Sponsor
Mahidol University
Brief Summary

The purpose of this study was to investigate the utility of serum tryptase for the confirmation of shrimp-induced anaphylaxis.

Detailed Description

The diagnosis of anaphylaxis is based primarily on the clinical history. In some circumstances, inability to confirm the clinical diagnosis such as present with unusual manifestation, or when skin signs are absent likely contributes to underrecognition and undertreatment of the disease.

Currently, products of mast cell activation (histamine and total tryptase) can be measure in clinical laboratories as markers of acute anaphylaxis events, however these tests have clinically relevant limitations.

Therefore, development of laboratory tests with improved sensitivity and specificity that will support the clinical diagnosis of anaphylaxis are needed.

In addition, shrimp is the major cause of seafood anaphylaxis among Thai children.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
39
Inclusion Criteria
  • a history of shrimp allergy
Exclusion Criteria
  • severe anaphylactic reaction from seafood
  • pregnancy
  • underlying diseases such as cardiovascular, hepatobiliary, and renal diseases
  • on systemic corticosteroid or β-blocking agents

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Shrimshrimp challenge-
Primary Outcome Measures
NameTimeMethod
Change of Serum tryptasesbaseline and 60 minutes after the onset of symptoms
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Pediatric allergy clinic, Faculty of Medicine Siriraj Hospital, Mahidol University

🇹🇭

Bangkoknoi, Bangkok, Thailand

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