Clinical features and severity grading of anaphylaxis

Journal of Allergy and Clinical Immunology

Volumn 114, Issue 2, 2004, Pages 371-376

  Brown, Simon G A ^a,b  

^a ROYAL HOBART HOSPITAL   (Australia)

^b FREMANTLE HOSPITAL   (Australia)

Author keywords

ACE; Anaphylaxis; angiotensin converting enzyme; classification; ED; Emergency department; etiology; immediate hypersensitivity; LOC; Loss of consciousness; Oxygen saturation measured by pulse oximetry; severity; SpO2; TIA; Transient ischemic attack

Indexed keywords

ADRENALIN;

ABDOMINAL PAIN; ADOLESCENT; ADULT; AGED; ANAPHYLAXIS; ANGIONEUROTIC EDEMA; ARTICLE; CHILD; CLINICAL FEATURE; COLLAPSE; CONFUSION; CONTROLLED STUDY; CORRELATION ANALYSIS; DIAPHORESIS; DISEASE ASSOCIATION; DISEASE SEVERITY; DYSPNEA; EMERGENCY WARD; ERYTHEMA; FEMALE; HUMAN; HYPERSENSITIVITY REACTION; HYPOTENSION; HYPOXIA; INCONTINENCE; INFANT; LOGISTIC REGRESSION ANALYSIS; LUNG DISEASE; MAJOR CLINICAL STUDY; MALE; MEDICAL RECORD; MORBIDITY; NAUSEA; NEWBORN; PREDICTION; PRIORITY JOURNAL; RETROSPECTIVE STUDY; RISK ASSESSMENT; RISK FACTOR; SEX DIFFERENCE; STATISTICAL SIGNIFICANCE; STRIDOR; SYNCOPE; SYSTEM ANALYSIS; THORAX PAIN; UNCONSCIOUSNESS; URTICARIA; VOMITING; WHEEZING;

ADOLESCENT; ADRENERGIC BETA-ANTAGONISTS; ADULT; AGE FACTORS; AGED; AGED, 80 AND OVER; ANAPHYLAXIS; ANGIOTENSIN-CONVERTING ENZYME INHIBITORS; CHILD; CHILD, PRESCHOOL; FEMALE; HUMANS; INFANT; INFANT, NEWBORN; LOGISTIC MODELS; MALE; MIDDLE AGED;

EID: 4344610304     PISSN: 00916749     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jaci.2004.04.029     Document Type: Article

References (25)

1. Brown A.F.T., McKinnon D., Chu K. Emergency department anaphylaxis: a review of 142 patients in a single year. J Allergy Clin Immunol. 108:2001;861-866
2. Brown A.F.T. The emergency department epidemiology of acute allergic events: can we ever compare apples with apples? Emerg Med. 15:2003;315-317
3. Reisman R.E. Natural history of insect sting allergy: relationship of severity of symptoms of initial sting anaphylaxis to re-sting reactions. J Allergy Clin Immunol. 90:1992;335-339
4. Golden D.B., Kwiterovich K.A., Kagey-Sobotka A., Lichtenstein L.M. Discontinuing venom immunotherapy: extended observations. J Allergy Clin Immunol. 101:1998;298-305
5. Mueller H.L. Further experiences with severe allergic reactions to insect stings. N Engl J Med. 261:1959;374-377
6. Mueller H.L. Diagnosis and treatment of insect sensitivity. J Asthma Res. 3:1966;331-333
7. Lockey R.F., Turkeltaub P.C., Olive E.S., Hubbard J.M., Baird-Warren I.A., Bukantz S.C. The Hymenoptera venom study III: Safety of venom immunotherapy. J Allergy Clin Immunol. 86:1990;775-780
8. van der Linden P.W., Hack C.E., Struyvenberg A., van der Zwan J.K. Insect-sting challenge in 324 subjects with a previous anaphylactic reaction: current criteria for insect-venom hypersensitivity do not predict the occurrence and the severity of anaphylaxis. J Allergy Clin Immunol. 94:1994;151-159
9. Blaauw P.J., Smithuis O.L., Elbers A.R. The value of an in-hospital insect sting challenge as a criterion for application or omission of venom immunotherapy. J Allergy Clin Immunol. 98:1996;39-47
10. Ring J., Messmer K. Incidence and severity of anaphylactoid reactions to colloid volume substitutes. Lancet. 1:1977;466-469
11. Sturm G., Kranke B., Rudolph C., Aberer W. Rush Hymenoptera venom immunotherapy: a safe and practical protocol for high-risk patients. J Allergy Clin Immunol. 110:2002;928-933
12. Pumphrey R.S. Lessons for management of anaphylaxis from a study of fatal reactions. Clin Exp Allergy. 30:2000;1144-1150
13. Brown S.G.A., Franks R.W., Baldo B.A., Heddle R.J. Prevalence, severity, and natural history of jack jumper ant venom allergy in Tasmania. J Allergy Clin Immunol. 111:2003;187-192
14. Brown S.G.A., Blackman K.E., Stenlake V., Heddle R.J. Insect sting anaphylaxis; prospective evaluation of treatment with intravenous adrenaline and volume resuscitation. Emerg Med J. 21:2004;149-154
15. Muller U. Insect sting allergy: clinical picture, diagnosis and treatment. 1990;Gustav Fischer Verlag, New York
16. van Halteren H.K., van der Linden P.W., Burgers S.A., Bartelink A.K. Hymenoptera sting challenge of 348 patients: relation to subsequent field stings. J Allergy Clin Immunol. 97:1996;1058-1063
17. Clark S., Bock S.A., Gaeta T.J., Brenner B.E., Cydulka R.K., Camargo C.A. Multicenter study of emergency department visits for food allergies. J Allergy Clin Immunol. 113:2004;347-352
18. Sampson H.A., Mendelson L., Rosen J.P. Fatal and near-fatal anaphylactic reactions to food in children and adolescents. N Engl J Med. 327:1992;380-384
19. Brown S.G.A., Wu Q.X., Kelsall G.R., Heddle R.J., Baldo B.A. Fatal anaphylaxis following jack jumper ant sting in southern Tasmania. Med J Aust. 175:2001;644-647
20. Tunon-de-Lara J.M., Villanueva P., Marcos M., Taytard A. ACE inhibitors and anaphylactoid reactions during venom immunotherapy. Lancet. 340:1992;908
21. Toogood J.H. Risk of anaphylaxis in patients receiving beta-blocker drugs. J Allergy Clin Immunol. 81:1988;1-5
22. Jacobs R.L., Rake G.W. Jr., Fournier D.C., Chilton R.J., Culver W.G., Beckmann C.H. Potentiated anaphylaxis in patients with drug-induced beta-adrenergic blockade. J Allergy Clin Immunol. 68:1981;125-127
23. Hannaway P.J., Hopper G.D. Severe anaphylaxis and drug-induced beta-blockade. N Engl J Med. 308:1983;1536
24. Mosbech H. Death caused by wasp and bee stings in Denmark 1960-1980. Allergy. 38:1983;195-200
25. Johansson S.G., Hourihane J.O., Bousquet J., Bruijnzeel-Koomen C., Dreborg S., Haahtela T., et al. A revised nomenclature for allergy. An EAACI position statement from the EAACI nomenclature task force. Allergy. 56:2001;813-824