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Related Experiment Videos

Fatal asthma or anaphylaxis?

J Rainbow1, G J Browne

  • 1Department of Emergency Medicine, The Children's Hospital at Westmead, Cnr Hawkesbury Road and Hainsworth Street, Westmead NSW 2145, Australia.

Emergency Medicine Journal : EMJ
|September 3, 2002
PubMed
Summary
This summary is machine-generated.

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Anaphylaxis is often under-reported in children with asthma. Prompt recognition and intramuscular adrenaline are crucial for managing severe allergic reactions that mimic asthma attacks.

Area of Science:

  • Pediatrics
  • Allergy and Immunology
  • Respiratory Medicine

Background:

  • Anaphylaxis incidence is underestimated, particularly in children with asthma.
  • Children with asthma are often atopic, increasing their risk for allergic reactions.
  • Rapid-onset wheezing in asthmatic children may be misdiagnosed as severe asthma.

Observation:

  • Two fatal anaphylaxis cases were initially misdiagnosed as acute severe asthma.
  • These patients showed poor response to standard bronchodilator therapy.
  • Survivors of severe asthma-like episodes require screening for anaphylaxis triggers.

Findings:

  • Misdiagnosis of anaphylaxis as asthma can lead to delayed or inappropriate treatment.
  • Screening for allergens is recommended for children surviving "acute asphyxic asthma" episodes.

Related Experiment Videos

  • Adrenaline (epinephrine) should be part of the asthma management plan for these children.

    • Implications:

    • Improved diagnostic criteria are needed to differentiate anaphylaxis from asthma exacerbations.
    • Early administration of adrenaline is vital for managing pediatric anaphylaxis.
    • Enhanced asthma action plans should incorporate anaphylaxis preparedness.