There is a big difference between anaphylactic shock and being sensitive to something.
I.e. four people walk through a patch of poison ivy. One is unaffected, another breaks out in a rash, another breaks out in a rash and swelling severe enough to need medical help, and the fourth one has an anaphylactic reaction and dies.
Just like some fish are more sensitive to ammonia than others.
"The symptoms of palytoxin poisoning and how quickly they appear depend partially on how much and through what route one has been exposed,
e.g. if the poison has been inhaled or if the exposure has happened via skin.
In some non-lethal cases the symptoms in people have appeared in 6–8 hours after inhalation or skin exposure, and have lasted for 1–2 days. In different animals the symptoms have appeared in 30–60 minutes after intravenous injection and after 4 hours of eye-exposure."
- Sud P, Su MK, Greller HA, Majlesi N, Gupta A (September 2013). "Case series: inhaled coral vapor--toxicity in a tank". Journal of Medical Toxicology. 9 (3): 282–6. doi:10.1007/s13181-013-0307-x. PMC 3770997. PMID 23702624.
- Deeds JR, Schwartz MD (August 2010). "Human risk associated with palytoxin exposure". Toxicon. 56 (2): 150–62. doi:10.1016/j.toxicon.2009.05.035. PMID 19505494
*Palytoxin is also found in other animals besides Zoanthids and Palythoa
Palytoxin and similar toxins are highly potent Na+-K+
ATPase inhibitors occurring in zoanthid corals (
Palythoa toxica), red alga, a
sea anemone and in dinoflagellates such as
Ostrepsis siamensis.
Source: David A Warrell, ... Michael Eddleston, in
Hunter's Tropical Medicine and Emerging Infectious Disease (Ninth Edition), 2013