TY - JOUR PY - 1997// TI - Multiphasic anaphylaxis: report of a case with prehospital and emergency department considerations JO - Journal of emergency medicine A1 - Brady, W. J. A1 - Luber, S. A1 - Joyce, T. P. SP - 477 EP - 481 VL - 15 IS - 4 N2 - 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.

Language: en

LA - en SN - 0736-4679 UR - http://dx.doi.org/ ID - ref1 ER -