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Updated: Jan 26, 2026

Measuring Local Anaphylaxis in Mice
07:49

Measuring Local Anaphylaxis in Mice

Published on: October 14, 2014

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Idiopathic anaphylaxis.

Maria Beatrice Bilò1, Matteo Martini2, Chiara Tontini2

  • 1Allergy Unit, Internal Medicine, Department of Clinical and Molecular Sciences, Marche Polytechnic University, Ancona, Italy.

Clinical and Experimental Allergy : Journal of the British Society for Allergy and Clinical Immunology
|April 20, 2019
PubMed
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Idiopathic anaphylaxis (IA) is diagnosed when no cause is found, presenting like other anaphylaxis but potentially responding to steroids. Long-term management involves medication and an epinephrine autoinjector for a generally favorable prognosis.

Area of Science:

  • Immunology
  • Allergy and Clinical Immunology

Background:

  • Idiopathic anaphylaxis (IA) is a diagnosis of exclusion with unknown incidence and prevalence.
  • IA symptoms are acute, similar to other anaphylaxis forms, with potential mast cell activation indicated by elevated histamine and tryptase.
  • The exact pathophysiology remains unclear, but an IgE-mediated pathway is suspected.

Purpose of the Study:

  • To review the current understanding of idiopathic anaphylaxis (IA).
  • To discuss differential diagnoses, pathophysiology, and management strategies for IA.
  • To highlight the generally favorable prognosis of IA with appropriate care.

Main Methods:

  • Literature review of idiopathic anaphylaxis (IA).
  • Analysis of clinical manifestations, diagnostic challenges, and treatment approaches.
Keywords:
anaphylaxisangio-oedemadrug allergyfood allergymast cellsvenom and insect allergy

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  • Comparison of IA with other forms of anaphylaxis and allergy mimics.
  • Main Results:

    • IA shares clinical features with other anaphylaxis types, with mast cell activation markers observed.
    • Corticosteroids show potential in reducing IA episode frequency and severity.
    • Differential diagnoses are extensive, including specific allergies, exercise-induced anaphylaxis, and conditions mimicking anaphylaxis.

    Conclusions:

    • IA management is individualized, involving H1/H2 blockers, leukotriene antagonists, and oral corticosteroids.
    • Patients require an epinephrine autoinjector and a self-management plan.
    • IA generally has a favorable prognosis with proper treatment and education; persistent symptoms warrant re-evaluation of the diagnosis.