Division of Allergy and Immunology, Department of Internal Medicine, University of Virginia Health System, Charlottesville, Virginia 22908-1355, USA.
Allergy Asthma Proc. 2012 Jan-Feb;33(1):110-3. doi: 10.2500/aap.2012.33.3476.
The allergist is frequently called on to evaluate patients after episodes of anaphylaxis to determine the cause and implement preventive measures that will reduce the patient's risk from future episodes. The etiology of anaphylaxis can be the result of numerous causes that may go undiagnosed if a thorough evaluation is not performed. We present a 71-year-old man with no history of food allergy or atopy who presented to the emergency room and then our allergy clinic for evaluation after suffering anaphylaxis after a meal of grits and shrimp. The underlying diagnosis, which was subsequently determined, requires a high index of suspicion and should be included in the differential diagnosis of any patient presenting with unexplained anaphylaxis.
过敏专家经常被要求评估过敏反应发作后的患者，以确定病因并采取预防措施，降低患者未来发作的风险。如果未进行彻底评估，过敏反应的病因可能是许多未被诊断出的原因导致的。我们介绍了一位 71 岁的男性患者，他没有食物过敏或特应性的病史，在吃了玉米粥和虾后出现过敏反应，随后到急诊室和我们的过敏诊所就诊。随后确定的潜在诊断需要高度怀疑，并应纳入任何不明原因过敏反应患者的鉴别诊断中。
