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Is It Scombroid?

Gary Stadtmauer, MD, Allergy & Clinical Immunology, 08:04AM Jun 17, 2013

The New England Journal of Medicine posts an image in clinical medicine every week. I often look at the quiz images with the allergy fellows in clinic as we try to guess the diagnosis.  Last week's image was of a case of Scombroid poisoning in a 6-year-old boy. What struck me as unusual about the case was the symptom duration (48 hours) and the presence of fever. Was it something else?

About This Blog

This blog is about allergy from my perspective as a private-practice doctor who teaches, occasionally publishes, and also works in human rights. After over 10 years in practice, it is clear to me that a better understanding of sinus disease and functional laryngeal disorders is required to be an allergy and respiratory disease specialist. I will share my insights with you as I try to bridge the divide between bench and bedside as well as between allergy and otolaryngology. Like my medical practice, this blog is about the clinical, ethical, and health economics issues of the day. Your thoughts and comments are always appreciated.
Disclosure: Gary J. Stadtmauer, MD, has disclosed no relevant financial relationships.

Poll: Have any of your patients died of an asthma attack? Yes, related to noncompliance|Yes, due to asthma severity alone|No|

  • Gary Stadtmauer

    Dr. Gary Stadtmauer is a New York native and a graduate of the Albert Einstein College of Medicine. He trained in internal medicine at St. Luke's Hospital and allergy-immunology at Mount Sinai Medical Center, both in New York City. He holds a voluntary faculty appointment at Mount Sinai School of Medicine where he teaches in the allergy fellowship program. He also maintains a private practice in Manhattan. Dr. Stadtmauer runs an educational Website,, which is dedicated to both patient and physician education about allergy topics with an emphasis on respiratory disorders. Outside of allergy, Dr. Stadtmauer's other professional activity is as a volunteer physician with the human rights clinic Healthright International.

The content of this blog does not necessarily reflect the viewpoints of Medscape.
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