Shellfish allergies are among the most common type of food allergy but a US study has found that sufferers may possibly build up a tolerance to shrimp and possibly lobster and clams as they grow older. Shellfish allergies tend to persist into adulthood, with reactions ranging from mild symptoms, like nasal congestion and hives, to serious or even life-threatening problems such as airway constriction, but little has been known about how children and adults differ in the immune response to shrimp proteins. But researchers from the Mount Sinai School of Medicine in New York have found that adults who are allergic to shrimp tend to have a less intense immune-system reaction to the shellfish compared with children. The researchers said it may be worthwhile for adults with a history of shrimp allergy to undergo objective testing, with a food challenge, to see whether they have built up a tolerance.