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  <Article>
    <Journal>
      <PublisherName>jmedicalcasereports</PublisherName>
      <JournalTitle>Frontiers in Medical Case Reports</JournalTitle>
      <PISSN>I</PISSN>
      <EISSN>S</EISSN>
      <Volume-Issue>Volume 2; Issue 4</Volume-Issue>
      <PartNumber/>
      <IssueTopic>Multidisciplinary</IssueTopic>
      <IssueLanguage>English</IssueLanguage>
      <Season>(Jul-Aug, 2021)</Season>
      <SpecialIssue>N</SpecialIssue>
      <SupplementaryIssue>N</SupplementaryIssue>
      <IssueOA>Y</IssueOA>
      <PubDate>
        <Year>-0001</Year>
        <Month>11</Month>
        <Day>30</Day>
      </PubDate>
      <ArticleType>Medical Case Reports</ArticleType>
      <ArticleTitle>Clinical History Matters, Skin Prick Test (SPT) Results are Not the Be-All and End-All for Allergy Diagnosis</ArticleTitle>
      <SubTitle/>
      <ArticleLanguage>English</ArticleLanguage>
      <ArticleOA>Y</ArticleOA>
      <FirstPage>1</FirstPage>
      <LastPage>3</LastPage>
      <AuthorList>
        <Author>
          <FirstName>Taha A Qureshi</FirstName>
          <LastName/>
          <AuthorLanguage>English</AuthorLanguage>
          <Affiliation/>
          <CorrespondingAuthor>N</CorrespondingAuthor>
          <ORCID/>
          <FirstName>Afaq H Beigh</FirstName>
          <LastName/>
          <AuthorLanguage>English</AuthorLanguage>
          <Affiliation/>
          <CorrespondingAuthor>Y</CorrespondingAuthor>
          <ORCID/>
          <FirstName>Iqra</FirstName>
          <LastName>Jan</LastName>
          <AuthorLanguage>English</AuthorLanguage>
          <Affiliation/>
          <CorrespondingAuthor>Y</CorrespondingAuthor>
          <ORCID/>
          <FirstName>Fizalah</FirstName>
          <LastName>Kawoosa</LastName>
          <AuthorLanguage>English</AuthorLanguage>
          <Affiliation/>
          <CorrespondingAuthor>Y</CorrespondingAuthor>
          <ORCID/>
          <FirstName>Shahid M</FirstName>
          <LastName>Baba</LastName>
          <AuthorLanguage>English</AuthorLanguage>
          <Affiliation/>
          <CorrespondingAuthor>Y</CorrespondingAuthor>
          <ORCID/>
          <FirstName>Ayaz</FirstName>
          <LastName>Gull</LastName>
          <AuthorLanguage>English</AuthorLanguage>
          <Affiliation/>
          <CorrespondingAuthor>Y</CorrespondingAuthor>
          <ORCID/>
          <FirstName>Nusrat</FirstName>
          <LastName>Kounsar</LastName>
          <AuthorLanguage>English</AuthorLanguage>
          <Affiliation/>
          <CorrespondingAuthor>Y</CorrespondingAuthor>
          <ORCID/>
          <FirstName>Roohi Rasool</FirstName>
          <LastName>Wani</LastName>
          <AuthorLanguage>English</AuthorLanguage>
          <Affiliation/>
          <CorrespondingAuthor>Y</CorrespondingAuthor>
          <ORCID/>
        </Author>
      </AuthorList>
      <DOI/>
      <Abstract>The diagnosis of Allergic disease is combination of clinical symptom assessment and analysis of the gold standard Skin Prick Test (SPT). This case report stresses on the fact that the results of SPT have to be mandatorily associated with clinical symptom manifestation for which a detailed history taking is absolutely instrumental. This study represents the maiden case from India where a patient presented with SPT documented house dust mites (HDM) sensitization without typical clinical manifestations of the HDM allergy spectrum. The results of SPT prompted us to revisit the patient history more elaborately and it came to our notice that the patient was having a pet turtle and was allergic to one of the components present in the pet feed (Gammarus also know commonly as Shrimp) which cross reacts with some HDM allergens and hence the reactivity on SPT. A simple allergen avoidance strategy (here it was the pet and its feed) made a patient free from allergy symptom and off pharmacotherapy also.</Abstract>
      <AbstractLanguage>English</AbstractLanguage>
      <Keywords>Skin Prick Test (SPT),House Dust Mites (HDM),Anaphylaxis,Gammarus,Pharmacotherapy</Keywords>
      <URLs>
        <Abstract>https://jmedicalcasereports.org/ubijournal-v1copy/journals/abstract.php?article_id=13188&amp;title=Clinical History Matters, Skin Prick Test (SPT) Results are Not the Be-All and End-All for Allergy Diagnosis</Abstract>
      </URLs>
      <References>
        <ReferencesarticleTitle>References</ReferencesarticleTitle>
        <ReferencesfirstPage>16</ReferencesfirstPage>
        <ReferenceslastPage>19</ReferenceslastPage>
        <References>Fontand;aacute;n M, Aand;ntilde;ibarro B, Postigo I, Martand;iacute;nez J. Allergy to freshwater shrimp (Gammarus). J Investig Allergol Clin Immunol 2005; 15: 150–152.&#13;
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Lopata AL, Kleine-Tebbe J, Kamath SD. Allergens and molecular diagnostics of shellfish allergy. Allergo J Int 2016; 25: 210–218.&#13;
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Lopata AL, Zinn C, Potter PC. Characteristics of hypersensitivity reactions and identification of a unique 49 kd IgE-binding protein (Hal-m-1) in abalone (Haliotis midae). J Allergy Clin Immunol 1997; 100: 642–648.&#13;
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Zhang Y, Matsuo H, Morita E. Cross-reactivity among shrimp, crab and scallops in a patient with a seafood allergy. J Dermatol 2006; 33: 174–177.</References>
      </References>
    </Journal>
  </Article>
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