Anaphylaxis resident survival guide: Difference between revisions
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==Diagnostic Criteria== | ==Diagnostic Criteria== | ||
It is diagnosed with meeting one of the following criteria:<ref name="Sampson-2006">{{Cite journal | last1 = Sampson | first1 = HA. | last2 = Muñoz-Furlong | first2 = A. | last3 = Campbell | first3 = RL. | last4 = Adkinson | first4 = NF. | last5 = Bock | first5 = SA. | last6 = Branum | first6 = A. | last7 = Brown | first7 = SG. | last8 = Camargo | first8 = CA. | last9 = Cydulka | first9 = R. | title = Second symposium on the definition and management of anaphylaxis: summary report--Second National Institute of Allergy and Infectious Disease/Food Allergy and Anaphylaxis Network symposium. | journal = J Allergy Clin Immunol | volume = 117 | issue = 2 | pages = 391-7 | month = Feb | year = 2006 | doi = 10.1016/j.jaci.2005.12.1303 | PMID = 16461139 }}</ref> | It is diagnosed with meeting one of the following criteria:<ref name="Sampson-2006">{{Cite journal | last1 = Sampson | first1 = HA. | last2 = Muñoz-Furlong | first2 = A. | last3 = Campbell | first3 = RL. | last4 = Adkinson | first4 = NF. | last5 = Bock | first5 = SA. | last6 = Branum | first6 = A. | last7 = Brown | first7 = SG. | last8 = Camargo | first8 = CA. | last9 = Cydulka | first9 = R. | title = Second symposium on the definition and management of anaphylaxis: summary report--Second National Institute of Allergy and Infectious Disease/Food Allergy and Anaphylaxis Network symposium. | journal = J Allergy Clin Immunol | volume = 117 | issue = 2 | pages = 391-7 | month = Feb | year = 2006 | doi = 10.1016/j.jaci.2005.12.1303 | PMID = 16461139 }}</ref><br> | ||
♦ Acute onset of a reaction (mins to hours) involving skin, mucous membrane or both. Additionally including atleast one of the following: | ♦ Acute onset of a reaction (mins to hours) involving skin, mucous membrane or both. Additionally including atleast one of the following: | ||
:* Respiratory compromise or | :* Respiratory compromise or | ||
Revision as of 16:50, 15 January 2014
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Vidit Bhargava, M.B.B.S [2]
Definition
An acute, severe, potentially life threatening type 1 hypersensitivity reaction, following repeated exposure to an allergen to which an individual is already sensitised.
Causes
Life Threatening Causes
- Food, (Peanuts Tree nuts (walnuts, pecans, pistachios, filberts, cashews, almonds, etc.)
- Shellfish (crab, crayfish, prawns, shrimp, lobster, etc.)
- Proteins in Fish Milk, Soyabean, Wheat, Eggs
- Medications(Penicillin, Sulfa antibiotics, Allopurinol, IV contrast material )
- Insect venom (including bees, wasps, ants )
- Latex.
Diagnostic Criteria
It is diagnosed with meeting one of the following criteria:[1]
♦ Acute onset of a reaction (mins to hours) involving skin, mucous membrane or both. Additionally including atleast one of the following:
- Respiratory compromise or
- Cardiovascular compromise/Evidence of end organ dysfunction.
♦ 2 or more of the following in a patient known to come in contact with an established allergen:
- Skin/mucosal tissue involvement
- Respiratory compromise
- Reduced blood pressure
- Gastrointestinal manifestations
♦ Reduced blood pressure after exposure to a known allergen.
Management
Shown below is an algorithm summarizing the approach to [[disease name]].
References
- ↑ Sampson, HA.; Muñoz-Furlong, A.; Campbell, RL.; Adkinson, NF.; Bock, SA.; Branum, A.; Brown, SG.; Camargo, CA.; Cydulka, R. (2006). "Second symposium on the definition and management of anaphylaxis: summary report--Second National Institute of Allergy and Infectious Disease/Food Allergy and Anaphylaxis Network symposium". J Allergy Clin Immunol. 117 (2): 391–7. doi:10.1016/j.jaci.2005.12.1303. PMID 16461139. Unknown parameter
|month=ignored (help)