{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T10:32:29Z","timestamp":1740133949751,"version":"3.37.3"},"reference-count":3,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Emerg Med J"],"accepted":{"date-parts":[[2017,7,18]]},"published-print":{"date-parts":[[2018,3]]},"abstract":"<jats:sec id=\"s1\"><jats:title>Clinical\u00a0introduction<\/jats:title><jats:p>A 29-year-old keen parachutist presented to the emergency services in Cyprus complaining of sudden-onset facial flushing, dizziness and a widespread rash. The episode began on a hot day, 1\u2009hour after she had eaten a breakfast of tinned tuna, and while she was ascending in an aircraft to parachute from 10\u2009000\u00a0ft. She completed her jump uneventfully. She had no significant medical history\u00a0(figure 1).<\/jats:p><jats:fig id=\"F1\" position=\"float\" orientation=\"portrait\"><jats:label>Figure 1<\/jats:label><jats:caption><jats:p>Patient\u2019s legs on presentation; this rash was generalised.<\/jats:p><\/jats:caption><jats:graphic xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"emermed-2017-206783f1.tif\" position=\"float\" orientation=\"portrait\"\/><\/jats:fig><\/jats:sec><jats:sec id=\"s2\"><jats:title>Question<\/jats:title><jats:p>Based on the history and rash, which ONE of the following is the most likely diagnosis?<jats:list list-type=\"order\"><jats:list-item><jats:p>Fish allergy<\/jats:p><\/jats:list-item><jats:list-item><jats:p>Heat-related eruption<\/jats:p><\/jats:list-item><jats:list-item><jats:p>Scombrotoxin poisoning<\/jats:p><\/jats:list-item><jats:list-item><jats:p>Stress-induced urticaria<\/jats:p><\/jats:list-item><\/jats:list><\/jats:p><\/jats:sec>","DOI":"10.1136\/emermed-2017-206783","type":"journal-article","created":{"date-parts":[[2018,2,20]],"date-time":"2018-02-20T16:02:44Z","timestamp":1519142564000},"page":"184-184","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["A diagnostic red herring"],"prefix":"10.1136","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3478-2341","authenticated-orcid":false,"given":"Alexander J","family":"Martin-Bates","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charles","family":"Martin-Bates","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"Withnall","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,2,20]]},"reference":[{"key":"2024052702014496000_35.3.184.1","unstructured":"US Food and Drug Administration. Scombrotoxin poisoning and Decomposition [Online]. 2015 https:\/\/www.fda.gov\/food\/foodborneillnesscontaminants\/buystoreservesafefood\/ucm335658.htm."},{"key":"2024052702014496000_35.3.184.2","unstructured":"Oakley A . Scombroid Fish Poisoning [Online]. 2004 http:\/\/www.dermnetnz.org\/topics\/scombroid-fish-poisoning\/ (accessed Mar 2017)."},{"key":"2024052702014496000_35.3.184.3","doi-asserted-by":"publisher","DOI":"10.1136\/emj.19.5.474"}],"container-title":["Emergency Medicine Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/emermed-2017-206783","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,27]],"date-time":"2024-05-27T09:01:56Z","timestamp":1716800516000},"score":1,"resource":{"primary":{"URL":"https:\/\/emj.bmj.com\/lookup\/doi\/10.1136\/emermed-2017-206783"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,2,20]]},"references-count":3,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2018,2,20]]},"published-print":{"date-parts":[[2018,3]]}},"alternative-id":["10.1136\/emermed-2017-206783"],"URL":"https:\/\/doi.org\/10.1136\/emermed-2017-206783","relation":{},"ISSN":["1472-0205","1472-0213"],"issn-type":[{"type":"print","value":"1472-0205"},{"type":"electronic","value":"1472-0213"}],"subject":[],"published":{"date-parts":[[2018,2,20]]}}}