Citation

Sherenian MG, Clee M, Schondelmeyer AC, de Alarcón A, Li J, Assa'ad A, Risma K. Pediatrics 2015; 135(2): e547-50.

Affiliation

Allergy/Immunology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio kimberly.risma@cchmc.org.

Copyright

(Copyright © 2015, American Academy of Pediatrics)

DOI

10.1542/peds.2014-2394

PMID

25583920

Abstract

Anaphylaxis presents in children with rapid involvement of typically 2 or more organ systems including cutaneous, gastrointestinal, and respiratory. Caustic ingestions (CI) may also present with acute involvement of cutaneous, gastrointestinal, and respiratory systems. We present 2 cases of "missed diagnosis" that illustrate how CI presenting with respiratory symptoms can be mistaken for anaphylaxis owing to these similarities. Both of these patients had delay in appropriate care for CI as a result. These cases demonstrate the importance of considering CI in children who have gastrointestinal symptoms, respiratory distress, and oropharyngeal edema.

Language: en