Is iodine the key to seafood allergies?

by Madhuri on February 3, 2010

THE CLAIM
If you have a seafood allergy, avoid CT scans.

THE FACTS
Seafood allergies represent the most common form of food allergies in adults. But myths about this abound. The most prevalent falsehood is that allergies to shellfish are caused by an intolerance to their iodine content. As a result, many patients who show up at hospitals for CT scans and other X-ray procedures that involve ingesting iodine-containing contrast agents worry about allergic reactions.

According to studies, the notion is a myth: The allergies are caused by proteins in the animals, not iodine content. But researchers have found that the myth also persists because doctors help propagate it.

One study said the belief was so prevalent that about 70 per cent of radiologists and cardiologists who were surveyed said they asked patients whether they had seafood allergies before administering radiocontrast agents.

In reality, the general risk of an adverse reaction to a contrast agent ranges from 0.2 per cent to 17 per cent (depending on several factors), with severe reactions extremely rare. But studies show that an allergy of any kind, be it asthma or an allergy to shellfish, raises the risk by the same amount. Ultimately, no more than 15 per cent of patients with seafood allergies experience reactions.

THE BOTTOM LINE
Seafood allergies are not caused by iodine.

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