@article{ref1,
title="Multiphasic anaphylaxis: report of a case with prehospital and emergency department considerations",
journal="Journal of emergency medicine",
year="1997",
author="Brady, W. J. and Luber, S. and Joyce, T. P.",
volume="15",
number="4",
pages="477-481",
abstract="Anaphylaxis, a multisystem allergic reaction, represents a true medical emergency. Anaphylaxis is characterized by a combination of the following symptoms: urticaria, angioedema, distributive shock, and respiratory failure. Most often, the patient is rapidly treated with prompt resolution of the anaphylaxis in either the out-of-hospital or emergency department (ED) setting. Infrequently, recurrent or multiphasic anaphylaxis is encountered, involving a reappearance of allergic phenomena after complete resolution of the original reaction. Recurrence may involve nuisance-level issues such as urticaria; alternatively, multiphasic reactions may be characterized by cardiovascular collapse or respiratory compromise. Initially aggressive pharmacological therapy followed by prolonged observation in either the ED or the in-hospital setting is strongly recommended to monitor for potential recurrence.<p /><p>Language: en</p>",
language="en",
issn="0736-4679",
doi="",
url="http://dx.doi.org/"
}