Anaphylaxis for Internists: Definition, Evaluation, and Management, with a Focus on Commonly Encountered Problems.
Anaphylaxis
Antibiotic allergy (including penicillin and cephalosporin β-lactams)
Desensitization
Epinephrine
Graded challenge (test dose)
Meta-analysis
Type I hypersensitivity (immediate hypersensitivity)
Urticaria and pseudoallergy
Journal
The Medical clinics of North America
ISSN: 1557-9859
Titre abrégé: Med Clin North Am
Pays: United States
ID NLM: 2985236R
Informations de publication
Date de publication:
Jan 2020
Jan 2020
Historique:
entrez:
24
11
2019
pubmed:
24
11
2019
medline:
4
12
2019
Statut:
ppublish
Résumé
Anaphylaxis is an acute systemic allergic reaction that can be life threatening. In adults, the most common causes of anaphylaxis are foods, drugs, and insect stings. This article reviews the definition, classification, evaluation, differential diagnosis, prognosis, complications, and management of anaphylaxis. Tailored for internists, the article focuses on anaphylactic medication allergies. It provides a guide to optimally evaluate and manage patients with antibiotic allergy using a simple, rapid risk stratification technique, graded antibiotic challenge (test dose), and/or allergist-guided drug desensitization. It also reviews other causes of anaphylaxis that internists are likely to encounter, and an approach to their management.
Identifiants
pubmed: 31757236
pii: S0025-7125(19)30083-5
doi: 10.1016/j.mcna.2019.08.007
pii:
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
25-44Informations de copyright
Copyright © 2019 Elsevier Inc. All rights reserved.