Anaphylaxis presents in children with rapid involvement of typically 2 or more organ systems including cutaneous, gastrointestinal, and respiratory. Caustic ingestions (CI) may also present with acute involvement of cutaneous, gastrointestinal, and respiratory systems. We present 2 cases of “missed diagnosis” that illustrate how CI presenting with respiratory symptoms can be mistaken for anaphylaxis owing to these similarities. Both of these patients had delay in appropriate care for CI as a result. These cases demonstrate the importance of considering CI in children who have gastrointestinal symptoms, respiratory distress, and oropharyngeal edema.
Caustic Ingestions Mimicking Anaphylaxis: Case Studies and Literature Review
FINANCIAL DISCLOSURE: The authors have indicated they have no financial relationships relevant to this article to disclose.
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Michael G. Sherenian, Mark Clee, Amanda C. Schondelmeyer, Alessandro de Alarcón, Jinzhu Li, Amal Assa’ad, Kimberly Risma; Caustic Ingestions Mimicking Anaphylaxis: Case Studies and Literature Review. Pediatrics February 2015; 135 (2): e547–e550. 10.1542/peds.2014-2394
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