Lessons from peculiar cases of anaphylaxis: why allergists should be prepared for the unexpected
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Authors Information
1Postgraduate School of Respiratory Medicine, Department of Experimental Medicine, University of Rome Tor Vergata, Rome, Italy
2Division of Pulmonology, S. Corona Hospital, Pietra Ligure, Italy
3Department of Clinical and Molecular Sciences, Università Politecnica delle Marche, Italy
4Allergy Unit, Department of Internal Medicine, University Hospital Ospedali Riuniti di Ancona, Ancona, Italy
5Allergy Unit, Santa Croce Hospital, Fano, Italy
6Psychologist, Naples, Italy
7Allergy Unit, High Speciality San Giuseppe Moscati Hospital, Avellino, Italy
8Postgraduate School of Internal Medicine, University of Salerno, Salerno, Italy
9Division of Neurophysiology, A. Cardarelli Hospital, Naples, Italy
10Allergy and Clinical Immunology, G. Fucito Hospital and University Hospital, Salerno, Italy
11Allergy Unit, ASL (Sanitary District n°12), Caserta, Italy
12Department of Experimental Medicine, Unit of Respiratory Medicine, University of Rome Tor Vergata, Rome, Italy
13ASL (Sanitary District), Avellino, Italy
14Unit of Allergology, Division of Internal Medicine, Fatebenefratelli Hospital, Benevento, Italy
*Working Group "Stress-Asthma/allergy"
†AAIITO Regione Campania
All authors contributed equally to this work
History
Published: 15 April 2021
Accepted: 22 February 2021
Received: 12 December 2020
SUMMARY
Anaphylaxis is the most severe systemic hypersensitivity reaction, it can be caused by a number of well identified triggers such as foods, drugs, stinging insects and facilitated by predisposing clinical conditions. However, sometimes anaphylaxis shows up with uncommon or peculiar characteristics which could delay diagnosis and therapeutic treatment. In this report we aimed to describe less accounted / difficult-to-approach shapes of anaphylaxis to facilitate clinicians to suspect these severe reactions even in uncommon conditions. We choose to present data on anaphylaxis regarding simulation, mode of exposure to sensitizing agents, pregnancy, exposure to animals, intimate behaviour, psychological stress and other situations.