Fish and shellfish allergy
Seafood allergy is more common in adults than children and usually remains a lifelong problem. People with seafood allergy are usually allergic to either fish or shellfish, rather than both.
Allergy action plan
Allergy action plans are recommended to advise staff what to do if a known allergen is ingested. The action plan should be developed with the child’s family and treating team (doctor, allergist, paediatrician) and be approved and signed by a recognised health professional involved in their care.
On enrolment, centres should request written documentation of confirmed allergies from the child’s treating team. Parents should document exactly what their child can and cannot tolerate to avoid confusion and this should be written on the allergy action plan.
Specialised anaphylaxis action plans are essential for children with anaphylactic reactions.
For information about developing an allergy action plan refer to Allergy policy and allergy action plans or the Australasian Society of Clinical Immunology and Allergy (ASCIA)* website www.allergy.org.au.
Fish allergy
Avoiding fish
Fish allergy can be an allergic reaction to any one or more of the following:
|
Fish that commonly cause an allergic response |
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|---|---|---|---|---|---|---|
|
Salmon |
Barramundi |
Pilchards |
Cod |
Bream |
Shark |
Haddock |
|
Mackerel |
Flake |
Snapper |
Sardines |
Flathead |
Sole |
Perch |
|
Herring |
Flounder |
Whiting |
Anchovies |
Garfish |
Whitebait |
|
|
Tuna |
Hake |
John Dory |
Trout |
Orange roughy |
Pike |
|
People who are allergic to one type of fish are often allergic to other types of fish, but are often not allergic to other types of seafood.
Label reading
Check the labels of the following foods, as they may contain fish:
|
Ingredients that indicate the presence of fish |
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|---|---|---|---|---|---|
|
Antipasto |
Dips |
Soups |
Oyster sauce |
Fish sauce |
Fish stock |
|
Marinara sauce |
Fish gelatin |
Canned spreads (fish paste) |
Caesar salad (anchovies) |
Salad dressings (anchovies) |
Caesar salad dressing |
|
Pescatore sauce |
Sushi |
Surimi |
Greek dishes |
Bouillabaisse |
Worchester sauce |
|
Products fortified with omega 3 |
Anything from a fish and chip shop (cooked in oil used to cook fish) |
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Shellfish allergy
Avoiding shellfish
Shellfish allergy can be an allergic reaction to any one or more of the following:
|
Shellfish that commonly cause an allergic response |
|||||
|---|---|---|---|---|---|
|
Prawns |
Crayfish |
Mussels |
Yabbies |
Scampi |
Cockle |
|
Shrimp |
Abalone |
Octopus |
Sea snail |
Sea slugs |
Marron |
|
Lobster |
Clams |
Cuttlefish |
Scallops |
Abalone |
Molluscs |
|
Crab |
Oysters |
Squid |
Calamari |
Barnacles |
Balmain bugs |
|
Garden slugs and snails |
Morton bay bugs |
||||
People allergic to shellfish should avoid all seafood in this group but not necessarily fish.
Label reading
Check the labels of the following foods, as they may contain shellfish:
|
Ingredients that indicate the presence of shellfish |
|||||
|---|---|---|---|---|---|
|
Bouillabaisse |
Prawn crackers |
Fish stock |
Seafood extender |
Squid ink |
Scampi fries |
|
Cuttlefish ink |
Oyster sauce |
Fish sauce |
Marinara sauce |
Pescatore sauce |
Pet or fish food |
|
Asian soups and dishes |
Seafood/marinara pizza |
Seafood flavouring |
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* The ASCIA website includes personal action plans for allergic reactions and for anaphylaxis. These are medical documents that can only be completed and signed by the patient’s treating medical doctor and cannot be altered without their permission.
References:
Dietary Avoidance – Fish Allergy, Australasian Society of Clinical Immunology and Allergy, 2013, http://www.allergy.org.au/patients/food-allergy/ascia-dietary-avoidance-for-food-allergy/fish.
Dietary Avoidance – Shellfish Allergy, Australasian Society of Clinical Immunology and Allergy, 2013, http://www.allergy.org.au/patients/food-allergy/ascia-dietary-avoidance-...
