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Second symposium on the definition and management of anaphylaxis: summary report--Second National Institute of Allergy and Infectious Disease/Food Allergy and Anaphylaxis Network symposium.

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TLDR
There is no universal agreement on the definition of anaphylaxis or the criteria for diagnosis, so representatives from 16 different organizations or government bodies, including representatives from North America, Europe, and Australia, to continue working toward a universally accepted definition.
Abstract
There is no universal agreement on the definition of anaphylaxis or the criteria for diagnosis. In July 2005, the National Institute of Allergy and Infectious Disease and Food Allergy and Anaphylaxis Network convened a second meeting on anaphylaxis, which included representatives from 16 different organizations or government bodies, including representatives from North America, Europe, and Australia, to continue working toward a universally accepted definition of anaphylaxis, establish clinical criteria that would accurately identify cases of anaphylaxis with high precision, further review the evidence on the most appropriate management of anaphylaxis, and outline the research needs in this area.

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References
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Journal ArticleDOI

Paediatric emergency department anaphylaxis: different patterns from adults

TL;DR: The first reported incidence figure for paediatric anaphylaxis ED presentations in Australia is less than that reported in adults in the same local population, however, the incidence of generalised allergic reactions of 9.3:1000 was greater than in the adults.
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Histamine and tryptase levels in patients with acute allergic reactions: An emergency department-based study.

TL;DR: Raised histamine and, less commonly, raised tryptase levels are observed in almost 50% of patients presenting to emergency departments with acute allergic reactions, suggesting basophil involvement.
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Biphasic anaphylactic reactions in pediatrics

TL;DR: An overall incidence of biphasic reactions of 6%, and an incidence of significant biphasal reactions of 3%, among pediatric patients admitted with anaphylaxis is found, and the utility of inpatient observation for patients whose anaphlyaxis appears to have resolved is assessed.
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Clinical observations on the pathophysiology and treatment of anaphylactic cardiovascular collapse.

TL;DR: In this paper, the authors found that adrenaline is the drug of first choice in management and that colloid solutions are preferable to crystalloid solutions in volume replacement in patients with anaphylactic shock.
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