Anaphylaxis and anaphylactoid reactions.

Abstract:

:The clinical syndrome of anaphylaxis and anaphylactoid reactions is quite variable, making diagnosis difficult at times. Early recognition by patient or physician is imperative to appropriate management. Recurrences may be life-threatening if the initial diagnosis is incorrect, as patients do not avoid the offending allergen. Release of inflammatory mediators from mast cells and basophils are responsible for the symptoms and signs in both anaphylactic and anaphylactoid reactions. They differ only in the initial cause of the activation of the mast cell or basophil. Management, regardless of the cause, involves rapid treatment. Intravenous fluids and adrenalin (preferably intravenous if appropriate) usually produce a response in more than 90% of patients. Prevention strategies including pharmacological prophylaxis should not be undervalued, because recurrences can easily be avoided. Follow-up with an allergist/immunologist is essential.

journal_name

Int J Clin Pract

authors

Murrant T,Bihari D

subject

Has Abstract

pub_date

2000-06-01 00:00:00

pages

322-8

issue

5

eissn

1368-5031

issn

1742-1241

journal_volume

54

pub_type

杂志文章,评审
  • Correlation between scanning laser polarimetry with and without enhanced corneal compensation and high-definition optical coherence tomography in normal and glaucomatous eyes.

    abstract:PURPOSE:To assess the relationship between high-definition optical coherence tomography (HD-OCT) and scanning laser polarimetry (SLP) with variable (VCC) and enhanced (ECC) corneal compensation in measuring peripapillary retinal nerve fibre layer (RNFL) thickness in healthy eyes and those with early-to-moderate glaucom...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章

    doi:10.1111/j.1742-1241.2011.02649.x

    authors: Benítez-del-Castillo J,Martinez A,Regi T

    更新日期:2011-07-01 00:00:00

  • Vitamin D and cardiovascular disease - dilemma, delight or 'dont know?'.

    abstract::The current lack of sufficient evidence of vitamin D's role in CVD calls for perspective and caution to avoid that health claims, vitamin D testing and supplementations' sales will continue to run well ahead of the scientific evidence. ...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章

    doi:10.1111/ijcp.12197

    authors: Viljoen A

    更新日期:2013-10-01 00:00:00

  • Crohn's disease and colorectal malignancy.

    abstract::There has been much debate over the past 50 years concerning the association between colorectal carcinoma and inflammatory bowel disease. Until recently, it was widely accepted there was a higher risk in those with widespread ulcerative colitis. However, evidence now suggests an almost equal incidence in those with Cr...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章,评审

    doi:

    authors: Kirk GR,Clements WD

    更新日期:1999-06-01 00:00:00

  • Effectiveness of statins in Medicare-eligible patients and patients < 65 years using clinical practice data.

    abstract:OBJECTIVE:This study compared effectiveness of rosuvastatin (RSV) with other statins on lowering LDL-C and LDL-C goal attainment among Medicare-eligible patients (age >or= 65 years) and patients with age < 65 years treated in usual clinical practice to provide evidence of real-world effectiveness of statins. METHODS:R...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章

    doi:10.1111/j.1742-1241.2007.01538.x

    authors: Fox KM,Gandhi SK,Ohsfeldt RL,Blasetto JW,Davidson MH

    更新日期:2007-10-01 00:00:00

  • Primary thyroid carcinoma and thyrotoxicosis.

    abstract::A 60-year-old man noticed rapid enlargement of a long-standing thyroid goitre, with dysphagia and difficulty in breathing. Thyrotoxicosis was diagnosed. Chest X-ray revealed multiple pulmonary metastases. He underwent near-total thyroidectomy. The histopathology revealed an undifferentiated thyroid carcinoma with some...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章

    doi:

    authors: Plengvidhya N,Rathanavijitrasilp A,Sangruchi T,Nitiyanant W,Vannasaeng S,Piraphatdist T,Vichayanrat A

    更新日期:1997-10-01 00:00:00

  • Endometrioma of the liver.

    abstract::Hepatic endometriosis is extremely rare. The diagnosis is often missed and treatment is delayed. A 37-year-old woman was referred to the gynaecology department with vague abdominal pains. She had a past history of pelvic endometriosis and hysterectomy with bilateral salpingo-oophorectomy. Further investigations in due...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章

    doi:

    authors: Bohra AK,Diamond T

    更新日期:2001-05-01 00:00:00

  • Assessment of immunogenicity and safety following primary and booster immunisation with a CRM197 -conjugated Haemophilus influenzae type B vaccine in healthy Chinese infants.

    abstract:BACKGROUND:Invasive meningitis and pneumonia caused by Haemophilus influenzae type b (Hib) is an important cause of childhood mortality in countries where Hib vaccination is not routine. We evaluated the non-inferiority of a licensed Hib vaccine, PRP-CRM(197) compared with a second licensed Hib vaccine, PRP-T, followin...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1111/ijcp.12267

    authors: Jun L,Yuguo C,Zhiguo W,Jinfeng L,Huawei M,Xiuhua L,Yonggui Z,Yanhua X,Kong Y,Hongtao L,Yuliang Z

    更新日期:2013-10-01 00:00:00

  • Rate and risk predictors for development of self-reported type-2 diabetes mellitus over a 5-year period: the SHIELD study.

    abstract:AIMS:This investigation determined the proportion of adults newly diagnosed as having type-2 diabetes mellitus (T2DM), and ascertained risk predictors for development of self-reported T2DM. METHODS:The US Study to Help Improve Early evaluation and management of risk factors Leading to Diabetes (SHIELD) survey was a 5-...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章

    doi:10.1111/j.1742-1241.2012.02952.x

    authors: Rodbard HW,Bays HE,Gavin JR 3rd,Green AJ,Bazata DD,Lewis SJ,Fox KM,Reed ML,Grandy S

    更新日期:2012-07-01 00:00:00

  • Autologous tissue immediate breast reconstruction: desired but oncologically safe?

    abstract:BACKGROUND:There has been a dramatic increase in the incidence of immediate breast reconstruction after mastectomy for breast cancer over the past few decades and autologous tissue flaps are being used with increasing frequency. Concern has been expressed that these complex procedures may lead to a delay in the deliver...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章,评审

    doi:10.1111/j.1742-1241.2009.02199.x

    authors: Lewis RS,Kontos M

    更新日期:2009-11-01 00:00:00

  • Treating type 2 diabetes: how safe are current therapeutic agents?

    abstract::Sulphonylureas (SUs) and biguanides (metformin) are the current mainstays in the treatment of type 2 diabetes (T2DM) and represent the most commonly used oral hypoglycaemic agents (OHAs). In recent years, a variety of new OHAs have become available, including thiazolidinediones, glinides, alpha-glucosidase inhibitors,...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章,评审

    doi:10.1111/j.1742-1241.2008.01980.x

    authors: Philippe J,Raccah D

    更新日期:2009-02-01 00:00:00

  • Biochemical identification of alcohol abuse.

    abstract::Biochemical test abnormality can indicate chronic alcohol abuse with good clinical sensitivity and specificity. Serum gamma glutamyltransferase and carbohydrate-deficient transferrin are the tests most frequently abnormal. ...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章,评审

    doi:

    authors: Rosalki SB

    更新日期:1999-03-01 00:00:00

  • Prescribing patterns, adherence and LDL-cholesterol response of type 2 diabetes patients initiating statin on low-dose versus standard-dose treatment: a descriptive study.

    abstract:AIMS:The aim of this study was to describe and compare treatment modifications and discontinuation, adherence levels and response to treatment in patients with type 2 diabetes initiating on low-dose vs. standard-dose statin treatment. METHODS:A 2-year follow-up cohort study was performed using data from the Groningen ...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章

    doi:10.1111/ijcp.12806

    authors: de Vries FM,Voorham J,Hak E,Denig P

    更新日期:2016-06-01 00:00:00

  • ZEN and the art of breast health maintenance.

    abstract::Zearalenone (ZEN) is a non-steroidal mycoestrogen that widely contaminates agricultural products. ZEN and its derivatives share similar molecular mechanisms and activity with estrogens and interact with ERα and ERβ leading to changes in the reproductive system in both animals and humans. The reduced form of ZEN, α-ZEA...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章,评审

    doi:10.1111/j.1742-1241.2011.02805.x

    authors: Pazaiti A,Kontos M,Fentiman IS

    更新日期:2012-01-01 00:00:00

  • Initiation of hypertension treatment with a fixed-dose combination or its monocomponents -- does it really matter?

    abstract::Despite efforts to diagnose and treat hypertension effectively, the goal of lowering blood pressure (BP) levels is rarely achieved, as treatment is often initiated with a single antihypertensive agent. The aim of this study was to assess the safety and efficacy of a first-line fixed-dose combination treatment compared...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1111/j.1368-5031.2006.00841.x

    authors: Scholze J,Bida M,Hansen A,Juncken D,Rangoonwala B,Ritz A,Schnitker J,Dörffel Y

    更新日期:2006-03-01 00:00:00

  • Chemotherapy for the treatment of hormone-refractory prostate cancer.

    abstract:AIMS:This review aims at analysing the published literature on chemotherapy for hormone-refractory prostate cancer (HRPC) to provide recommendations for the treatment of this important patient group. METHODS:The information for this review was compiled using the PubMed and Medline databases and the Proceedings of the ...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章,评审

    doi:10.1111/j.1742-1241.2007.01551.x

    authors: Chowdhury S,Burbridge S,Harper PG

    更新日期:2007-12-01 00:00:00

  • An integrated care pathway to save the critically ischaemic diabetic foot.

    abstract::This prospective study describes and evaluates the efficacy of an integrated care pathway for the management of the critically ischaemic diabetic foot patients by a multidisciplinary team. A weekly joint diabetes/vascular/podiatry ward round and outpatient clinic was established where patients were assessed within 7 d...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章

    doi:10.1111/j.1368-5031.2006.00953.x

    authors: El Sakka K,Fassiadis N,Gambhir RP,Halawa M,Zayed H,Doxford M,Greensitt C,Edmonds M,Rashid H

    更新日期:2006-06-01 00:00:00

  • Subjective well-being as a determinant of individuals' responses to symptoms: a biopsychosocial perspective.

    abstract:BACKGROUND:Although many models have been developed to explain health behaviour, differences in individual response to symptoms remain largely unexplained; moreover, they tend to underestimate affective (i.e., emotional) processes and they neglect the construct of well-being, despite its predominant role in the definit...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章,评审

    doi:10.1111/j.1742-1241.2009.02183.x

    authors: Kirana PS,Rosen R,Hatzichristou D

    更新日期:2009-10-01 00:00:00

  • Denosumab: mechanism of action and clinical outcomes.

    abstract:AIMS:To describe the mechanisms of action of denosumab, a novel antiresorptive agent, contrasting it with other antiresorptive and anabolic osteoporosis treatments. METHODS:Published papers related to the mechanism of action of approved osteoporosis treatments were sought through MEDLINE searches. FINDINGS:Osteoporot...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章,评审

    doi:10.1111/ijcp.12022

    authors: Hanley DA,Adachi JD,Bell A,Brown V

    更新日期:2012-12-01 00:00:00

  • Erectile dysfunction and lower urinary tract symptoms: a consensus on the importance of co-diagnosis.

    abstract::Despite differences in design, many large epidemiological studies using well-powered multivariate analyses consistently provide overwhelming evidence of a link between erectile dysfunction (ED) and lower urinary tract symptoms (LUTS). Preclinical evidence suggests that several common pathophysiological mechanisms are ...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章

    doi:10.1111/ijcp.12176

    authors: Kirby M,Chapple C,Jackson G,Eardley I,Edwards D,Hackett G,Ralph D,Rees J,Speakman M,Spinks J,Wylie K

    更新日期:2013-07-01 00:00:00

  • Diagnosis of insulin resistance in hypertensive patients by the metabolic syndrome: AHA vs. IDF definitions.

    abstract:BACKGROUND:Subjects with the metabolic syndrome are accompanied by insulin resistance (IR). However, it is not clear how well the newly defined metabolic syndrome identifies IR specifically in hypertensive subjects. AIMS:The purpose of the study was to evaluate the performance of the metabolic syndrome, defined by the...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章

    doi:10.1111/j.1742-1241.2008.01818.x

    authors: Hwu CM,Hsiung CA,Wu KD,Lee WJ,Shih KC,Grove J,Chen YD,Rodriguez BL,Curb JD,SAPPHIRe Study Group.

    更新日期:2008-09-01 00:00:00

  • Monocentric single-arm study of desmopressin acetate efficacy on nocturnal polyuria in the elderly.

    abstract:AIM OF THE STUDY:We designed a retrospective, monocentric, observational study to assess the efficacy and short-term side effect profile of desmopressin, a synthetic analogue of antidiuretic hormone, in 42 elderly patients affected by nocturnal polyuria (NP), a subset of nocturia (nocturnal overproduction of urine at n...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章

    doi:10.1111/ijcp.13612

    authors: Palmieri B,Iannitti T,Morales-Medina JC,Vadalà M

    更新日期:2020-11-01 00:00:00

  • Indiplon: the development of a novel therapy for the treatment of sleep onset and sleep maintenance insomnia.

    abstract::Indiplon is a novel non-benzodiazepine sedative-hypnotic that modulates the GABAA receptor complex. It appears to be more selective for the alpha1-receptor subunit, associated with sedation, than other hypnotics. Two different formulations of indiplon have been developed: an immediate release (IR) version targeting sl...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章,评审

    doi:10.1111/j.1742-1241.2007.01322.x

    authors: Lankford A,Ancoli-Israel S

    更新日期:2007-06-01 00:00:00

  • Tilt-induced pseudosyncope.

    abstract::Using the head-up tilt test (HUTT) we evaluated 986 consecutive patients affected by unexplained syncope. In 266 patients the test induced bradycardia and/or hypotension resulting in syncope or presyncope, thus allowing a diagnosis of neurally mediated syncope. In three other patients (0.3% of the entire population an...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章

    doi:

    authors: Luzza F,Pugliatti P,di Rosa S,Calabrò D,Carerj S,Oreto G

    更新日期:2003-06-01 00:00:00

  • Long-term safety and tolerability profile of ezetimibe and atorvastatin coadministration therapy in patients with primary hypercholesterolaemia.

    abstract::Long-term safety and tolerability of ezetimibe plus atorvastatin (EZE + ATV) coadministration therapy were compared to those of ATV monotherapy in patients with primary hypercholesterolaemia. Upon completion of a 12 week randomised, double-blind, placebo-controlled study comparing EZE 10 mg; ATV 10, 20, 40 or 80 mg; E...

    journal_title:International journal of clinical practice

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1111/j.1368-5031.2004.00278.x

    authors: Ballantyne CM,Lipka LJ,Sager PT,Strony J,Alizadeh J,Suresh R,Veltri EP

    更新日期:2004-07-01 00:00:00

  • The use of robotics in surgery: a review.

    abstract:IMPORTANCE:There is an ever-increasing drive to improve surgical patient outcomes. Given the benefits which robotics has bestowed upon a wide range of industries, from vehicle manufacturing to space exploration, robots have been highlighted by many as essential for continued improvements in surgery. OBJECTIVE:The goal...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章,评审

    doi:10.1111/ijcp.12492

    authors: Hussain A,Malik A,Halim MU,Ali AM

    更新日期:2014-11-01 00:00:00

  • Morbidity after breast cancer treatment and physiotherapeutic performance.

    abstract::Breast cancer (BC) accounts for >30% of all new cancer patients among women but with increased early detection rates and improved adjuvant therapy, the 5-year survival rate presently reaches >85%. As the number of BC survivors increases, research into the sequelae of the cancer and its treatment on quality of life is ...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章,评审

    doi:10.1111/j.1742-1241.2006.01152.x

    authors: Gomide LB,Matheus JP,Candido dos Reis FJ

    更新日期:2007-06-01 00:00:00

  • Measuring flushing symptoms with extended-release niacin using the flushing symptom questionnaire: results from a randomised placebo-controlled clinical trial.

    abstract:INTRODUCTION:Niacin is underutilised because of flushing. Lack of a quantitative tool to assess niacin-induced flushing has precluded the objective evaluation of flushing associated with extended-release (ER) niacin formulations. We developed the Flushing Symptom Questionnaire((c)) (FSQ), a quantitative tool to assess ...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1111/j.1742-1241.2008.01739.x

    authors: Paolini JF,Mitchel YB,Reyes R,Thompson-Bell S,Yu Q,Lai E,Watson DJ,Norquist JM,Sisk CM,Bays HE

    更新日期:2008-06-01 00:00:00

  • Acute renal infarction: a 10-year experience.

    abstract::The diagnosis of acute renal infarction (ARI) is often delayed or unrecognised because of its non-specific presentation and the rarity of the disease. We evaluated the clinical presentations, laboratory findings, underlying medical conditions and treatment of 18 Chinese patients with ARI who presented to the emergency...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章

    doi:10.1111/j.1742-1241.2006.01136.x

    authors: Tsai SH,Chu SJ,Chen SJ,Fan YM,Chang WC,Wu CP,Hsu CW

    更新日期:2007-01-01 00:00:00

  • Ezetimibe/simvastatin (INEGY) in the treatment of hyperlipidaemia.

    abstract::Ezetimibe/simvastatin (INEGY), a dual inhibitor of both cholesterol production and absorption, is a new approach to the management of hyperlipidaemia. Recent studies have shown that it produces greater reductions in low-density lipoprotein (LDL) cholesterol than the single inhibition of statin therapy, enabling many m...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章,评审

    doi:10.1111/j.1368-5031.2005.00737.x

    authors: Kastelein JJ,Sankatsing RR

    更新日期:2005-12-01 00:00:00

  • Admission blood pressure and 1-year mortality in acute myocardial infarction.

    abstract:AIMS:Arterial hypertension is a well-established factor for increased risk of cardiovascular diseases, but low admission blood pressure has also been suggested as predictor for increased mortality. We hypothesised that in patients with acute myocardial infarction admission blood pressure at the Emergency Department pre...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章

    doi:10.1111/ijcp.12588

    authors: Roth D,Van Tulder R,Heidinger B,Herkner H,Schreiber W,Havel C

    更新日期:2015-08-01 00:00:00