Appropriate management and prevention of anaphylaxis in the school, pre-school and childcare settings requires advanced planning and communication. The Australasian Society of Clinical Immunology and Allergy has developed Guidelines for Prevention of Anaphylaxis in Schools, Pre-schools and Childcare to assist school, pre-school and childcare staff in appropriate implementation of risk-minimisat...

Background Prevalence of severe food allergy with high risk of anaphylaxis has been increasing and daily restricted diet and fear of accidental anaphylaxis are great burden on the patients. Oral immunotherapy (OIT) may be a hope for the cure but has not been established at present. We performed OIT for severe food allergy with a unique protocol aiming to achieve the dosing of high amount during...

BACKGROUND Initial food-allergic reactions are often poorly recognized and under-treated. METHODS Parents of food-allergic children were invited to complete an online questionnaire, designed with Kids with Food Allergies Foundation, about their children's first food-allergic reactions resulting in urgent medical evaluation. RESULTS Among 1361 reactions, 76% (95% CI 74-79%) were highly likel...

Food-dependent, exercise-induced anaphylaxis (FDEIA) is the triggering of anaphylaxis after ingestion of certain foods when followed by physical exercise. Symptoms vary from the typical generalized urticaria to severe allergic reactions. We report the case of a 20-year-old woman who had a 7-year history of recurrent wheals and dyspnea after ingesting several kinds of food (wheat, pork, and beef...

Exercise-induced anaphylaxis (EIA) and food-dependent, exercise-induced anaphylaxis (FDEIA) are rare but potentially life-threatening clinical syndromes in which association with exercise is crucial. The range of triggering physical activities is broad, including as mild an effort as a stroll. EIA is not fully repeatable (ie, the same exercise may not always result in anaphylaxis in a given pat...

Anaphylaxis is a rapid onset serious allergic reaction which may be fatal. It is usually triggered by an agent such as a food, insect sting, or medication, through a mechanism involving immunoglobulin E (IgE) and the high-affinity IgE receptor on mast cells or basophils. Anaphylaxis has been rarely described which results from pollen antigen exposure. Here, we present unusual anaphylaxis, which...

Food allergy is the most common cause of anaphylaxis outside the hospital setting. Peanut, tree nuts, milk, egg, and shellfish are the most commonly implicated foods. Most cases of anaphylaxis are reported to occur in the home, but one-fifth of the reactions occur at school or work and a similar proportion in restaurants and other food establishments. Although the majority of reactions in schoo...