RHEUMATIC MANIFESTATIONS IN THE COURSE OF ANAPHYLAXIS CAUSED BY ANISAKIS SIMPLEX

Human anisakidosis is a parasitic infection caused by the larvae of An isakis simplex Classical clinical manifestations include epigastric pa in, occlusion, diffuse abdominal pain, appendicitis, and anaphylactoid reactions. Arthralgias or arthritis have been infrequently reported W e present three patients with proven hypersensitivity to A. simplex to gether with rheumatologic complaints after ingestion of parasitized fi shes. A. simplex must be considered in the differential diagnosis of a rthralgias/arthritis especially if associated with urticaria.