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Angio-oedema and anaphylaxis - Making a diagnosis
Anaphylaxis
- Asthma — commonest in children.
- Urticaria or angio-oedema.
- Vasovagal episode — the pulse and blood pressure are generally normal, and there is usually no evidence of airway symptoms.
- Acute anxiety (globus hystericus or panic attack); breath-holding episode in a child.
- Pulmonary embolism, foreign body aspiration.
- Hypoglycaemia.
- Seizure disorder.
- Septic shock.
- Others include — mastocytosis, carcinoid syndrome, scombroid poisoning (from contaminated fish).
[Joint Task Force on Practice Parameters for Allergy & Immunology, 2005; Working Group of the Resuscitation Council (UK), 2008]
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