Merve Karaca Şahin, Aslı Berivan Topçak, Deniz Özçeker
Çocuk Dergisi - 2025;25(3):187-193
Fish is a food with high nutritional value but also carries a high risk of allergy. Allergic reactions to fish typically occur within the first two years of life and usually at first consumption. Although there are diagnostic methods such as SPT and specific IgE, the gold standard diagnostic test is OPC, as in other food allergies. The main treatment is the elimination of fish from the diet and the use of epinephrine autoinjectors in case of anaphylaxis. However, fish and shellfish that children can tolerate should be determined by diagnostic tests and unnecessarily restrictive diets should be avoided. Patients should be informed about alternative sources of omega-3 and a written nutrition plan should be provided. Therefore, the collaboration of pediatricians, allergists, and dietitians is essential in the management of fish allergy.
