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Table 2 Patients who developed hypertensive anaphylaxis and their managements

From: Anaphylactic reactions presenting with hypertension

Case number

Sex/age (years)

Allergic disease

Causes of anaphylaxis

Additional symptomsa

ABP after anaphylaxisb (mmHg)

Treatment

1.

M/20

Bee venom allergy

Venom immunotherapy (vespula 100 mcg)

Papular urticarial lesions

170/100

ivAH, ivSt, nBD

2.

M/20

Bee venom allergy

Venom immunotherapy (Apis mellifera 80 mcg)

 

220/150

ivAH, ivSt, nBD

3.

M/20

Anaphylaxis with multiple food

Prick test with multiple fresh food

Dyspnea, generalize edema

190/120

ivAH, ivSt, nBD

4.

M/37

Allergic rhinitis

Immunotherapy with HDM mix (100.000 SQ-U/ml 0.5 cc)

 

170/110

ivAH, ivSt, nBD

5.

F/19

Asthma and allergic rhinitis

Immunotherapy with HDM mix (10 IR/ml 0.2 cc)

Wheezing

150/90

ivAH, imE, nBD

6.

F/39

Asthma and allergic rhinitis

Immunotherapy with HDM mix (10 IR/ml 1 cc)

Papular urticarial lesions

150/90

ivAH, ivSt, nBD, ACEi

7.

F/29

Asthma and allergic rhinitis

Immunotherapy with Phostal 350 (1 ml)

Papular urticarial lesions

160/100

ivAH, ivSt, nBD, ACEi

8.

F/23

Multiple drug, food and latex allergy, chronic urticaria, angioedema

Omalizumab treatment (300 mg/month)

Difficulty in breathing, tachycardia

150/100

ivAH, scE, imE, nE, ACEi

  1. M male, F female, ABP arterial blood pressure, HDM house dust mite, ivAH IV antihistaminic, ivSt IV steroid, scE Subcutaneus Epinephrine, imE IM Epinephrine, nBD nebulized bronchodilator, nE nebulized epinephrine, ACEi angiotensin converting enzyme inhibitor
  2. aClassical initial anaphylactic symptoms (generalized itching, flushing, swelling of the lips and skin, urticaria) are not mentioned here
  3. bAll patients basal blood pressures were normotensive