Anaphylaxis from atracurium without skin manifestation

Anaphylaxis as a Manifestation of Horse Allergy

Allergic disease induced by animal exposure is a common phenomenon worldwide. Whereas cat and dog dander exposure are well recognized as causative of allergic rhinitis, allergic asthma, and contact urticaria, horse allergy can present with anaphylaxis. Horse allergy is induced by exposure to the major horse allergens Equ 1 through 5. The severity of the symptoms may be related to the level of e...

Anaphylaxis during skin test with vecuronium.

Anaphylaxis is more common with rocuronium and succinylcholine than with atracurium.

BACKGROUND Intraoperative anaphylaxis is a rare but serious occurrence, often triggered by neuromuscular-blocking drugs (NMBDs). Previous reports suggest that the rates of anaphylaxis may be greater for rocuronium than for other NMBDs, but imprecise surrogate metrics for new patient exposures to NMBDs complicate interpretation. METHODS This was a retrospective, observational cohort study of i...

Anaphylaxis incidence with rocuronium, succinylcholine, and atracurium: how risk communication can influence behavior.

To the Editor: Reddy et al.1 studying neuromuscular-blocking drug (NMBD)induced perioperative anaphylaxis concluded that “the rate of anaphylaxis to succinylcholine and rocuronium is approximately 10-fold higher than to atracurium.” However, we believe that major methodological issues should be highlighted in this article as the authors’ resulting statement might mislead clinical care. First, a...

Anaphylaxis from ingestion of mites: pancake anaphylaxis.

Oral mite anaphylaxis is a new syndrome characterized by severe allergic symptoms occurring immediately after eating foods made with mite-contaminated wheat flour. This syndrome, which is more prevalent in tropical environments, is triggered more often by pancakes, and for that reason, it has been designated "the pancake syndrome." Because cooked foods are able to induce the symptoms, it has be...