What is Shrimp Specific IgE?
Shrimp reactivity is driven chiefly by tropomyosin (Pen a 1 / Pen m 1), a heat-stable muscle protein conserved across crustaceans and molluscs and homologous to invertebrate tropomyosins in house dust mite and cockroach. This homology produces frequent cross-reactivity and positive IgE in mite-sensitised patients who tolerate shellfish.