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Anaphylaxis

Alternative names:

anaphylactic reaction; anaphylactic shock; shock - anaphylactic

Symptoms:

Note: Symptoms develop rapidly, often within seconds or minutes.

Signs and tests:

Examination of the skin may show hives and angioedema (swelling of the eyes or face). The skin may be blue (cyanosis) from lack of oxygen or may be pale from shock. Angioedema in the throat may be severe enough to block the airway. Listening to the lungs with a stethoscope (auscultation) reveals wheezing and may indicate fluid (pulmonary edema). The pulse is rapid, and blood pressure may be low. Weakness, pale skin, heart arrhythmias, mental confusion, and other symptoms may indicate shock.

Testing for the specific allergen that caused anaphylaxis (if the cause is not obvious) is postponed until after treatment.

Update Date: 02/09/00
Updated by: J. Gordon Lambert, MD, Associate Medical Director, Utah Health Informatics and adam.com editorial


Adam

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