Anaphylaxis symptoms and grading chart

46 replies [Last post]
By momma2boys on Sat, 01-21-06, 04:09

I know I posted this in other threads, and I thought in it's own thread but I can't find it. Thought it would be helpful for new members who didn't see it.

[url="http://pediatrics.aappublications.org/cgi/content/full/111/6/S2/1601/T2"]http://pediatrics.aappublications.org/cgi/content/full/111/6/S2/1601/T2[/url]

some definitions to go with the chart...
pruritus-
1. Itching, an unpleasant cutaneous sensation that provokes the desire to rub or scratch the skin to obtain relief.
2. Any of various conditions marked by itching, the specific site or type being indicated by a modifying term.
urticaria-
A transient condition of the skin, usually caused by an allergic reaction, characterised by pale or reddened irregular, elevated patches and severe itching, hives.

angioedema-

A vascular reaction involving the deep dermis or subcutaneous or submucal tissues, representing localised oedema caused by dilatation and increased permeability of the capillaries and characterised by development of giant wheals

Tachycardia-

The excessive rapidity in the action of the heart, the term is usually applied to a heart rate above 100 per minute and may be qualified as atrial, junctional (nodal) or ventricular and as paroxysmal.

dyspnea-

Shortness of breath, difficult or laboured breathing.

cyanosis-

A bluish discolouration, applied especially to such discolouration of skin and mucous membranes due to excessive concentration of reduced haemoglobin in the blood.

bradycardia-

A slowness of the heart beat, as evidenced by slowing of the pulse rate to less than 60 beats per minute

rhinorrhea-

persistent watery mucus discharge from the nose

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By dgood on Sat, 01-21-06, 23:42

Thank you so much. You posted this for me after my daughter's anaphalaxis from egg and it really cleared things up for me...yep, her reaction was very serious based on this chart. Even my mom who is an RN was amazed how serious vomiting is during an allergic reaction.

Thanks again!

__________________

DD (age 4) - allergic to peanuts, some tree nuts, egg whites, dogs, cats, environmental allergies

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By momma2boys on Sun, 01-22-06, 17:20

dgood, you are very welcome. I know after I saw this chart the first time I realized my son should have received epi a couple times.

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By Lebovitz on Sun, 01-22-06, 23:51

Helpful post!

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By Daisy on Wed, 03-01-06, 02:17

Bumping up for newbies.

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By ethanb'smom on Wed, 03-01-06, 06:55

Very helpful...from one of the newbies!

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By robin99 on Thu, 03-02-06, 00:22

thanks

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By Daisy on Thu, 05-18-06, 03:56

re-raising for Ethan's Mom.

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By lmw on Thu, 05-18-06, 17:13

I copy/pasted this into a Word document last time it was raised, just after DD had a minor reaction to a nut. I added definitions for all the terms I didn't know/understand right in the box with the medical term. Now I can just print them off as needed. I figure, this way, if I'm asked 'is X happening?', I know what 'X' is!

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By Daisy on Thu, 06-01-06, 02:30

bumping up for the newbies.

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By joeybeth on Thu, 06-01-06, 04:08

thank you so much....i knew about most of these but now i finally have a name for that watery liquid that flowed from my girls' mouths and noses during their skin tests a couple of years ago. until now, i thought that was just some odd reaction we alone had. i recognized all the other signs of a reaction, but not that one.

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By joeybeth on Thu, 06-01-06, 04:20

but....is this rhinorrhea the same as what happens during seasonal allergies (like my hayfever symptoms, for example)??? when my girls had their skin tests, the rush of water from their noses and mouths was unlike anything i've ever seen or experienced before. it was more like a faucet had been turned on all at once and came at the same time as the burning sensation in their throats that had them holding their necks and crying. i was very glad we were in a physician's office when it all happened. they recovered fine but it was very unpleasant for a while.

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By Daisy on Tue, 06-06-06, 18:38

bump

And to JoeyBeth,
Yes, the runny nose is the same as for seasonal allergies...just a more extreme version. I have had several inhalant reactions to seafood. This is usually my first symptom. It starts all of a sudden, then progresses.
Daisy

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By Daisy on Thu, 06-15-06, 01:16

bump

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By Daisy on Wed, 06-21-06, 04:34

bump

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By Daisy on Fri, 08-04-06, 03:32

Since I have "abnormal" allergy symptoms, this chart has been a Godsend. (No hives, but GI/Cardio/Resp.)

Bump

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By k9ruby on Sat, 08-05-06, 15:29

I'm class 4 then! (our alligist didn't tell me! he just wanted to find out what it was !

__________________

webmaster of [url="http//www.ifzone.cjb.net"]www.ifzone.cjb.net[/url] [url="http//www.goingnuts.cjb.net"]www.goingnuts.cjb.net[/url]
*****TREENUT SLAYER*****

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By McCobbre on Sat, 08-05-06, 21:09

This is not your allergy class (that's based on your ige level--and you should be able to see that when you get your scores back). This is the grade of each specific reaction you have--and so it will vary.

The severity of reaction can have very little to do with your allergy class; you can have a nearly fatal ana reaction and be class 1 or a mild reaction and be class 4.

[This message has been edited by McCobbre (edited August 05, 2006).]

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My posts may not be published by anyone without getting express written consent by me.

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By k9ruby on Sat, 08-05-06, 21:43

ok, thanks alot!

__________________

webmaster of [url="http//www.ifzone.cjb.net"]www.ifzone.cjb.net[/url] [url="http//www.goingnuts.cjb.net"]www.goingnuts.cjb.net[/url]
*****TREENUT SLAYER*****

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By Daisy on Fri, 08-18-06, 02:35

Raising for newbies!

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By josh'smom on Fri, 08-18-06, 12:36

When my son had his reaction he had hives near his mouth right after he ate the PB cookies. About 2 hours later he developed full body hives. The ER doc said it was not anaphylaxis, but did give him a shot of epi. He had no other bodily systems involved at the time. What would you consider this to be? I get so confused looking at the chart.

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By Daisy on Sat, 08-26-06, 01:10

Quote:Originally posted by josh'smom:
[b]When my son had his reaction he had hives near his mouth right after he ate the PB cookies. About 2 hours later he developed full body hives. The ER doc said it was not anaphylaxis, but did give him a shot of epi. He had no other bodily systems involved at the time. What would you consider this to be? I get so confused looking at the chart.[/b]

From the chart, this would be a grade 2...full body hives. But remember, most allergists will say that with symptoms (like hives) *and a known ingestion* using the Epi is best. Glad the ER Doc did. You don't know how this would have progressed later.

Daisy

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By gwe on Mon, 08-28-06, 05:35

Adding another link:
[url="http://the-clarkes.org/stuff/ana.html"]http://the-clarkes.org/stuff/ana.html[/url]

It's the same information, but in plain English (not medicalese).

__________________

My blog [url="http//www.mykidsallergies.blogspot.com"]www.mykidsallergies.blogspot.com[/url]

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By gwe on Mon, 08-28-06, 05:37

Also, I don't know if it's just me, but the plain language version of the chart is actually more frightening than the medical language version.

------------------
My blog: [url="http://www.mykidsallergies.blogspot.com"]www.mykidsallergies.blogspot.com[/url]

__________________

My blog [url="http//www.mykidsallergies.blogspot.com"]www.mykidsallergies.blogspot.com[/url]

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By Adele on Mon, 08-28-06, 14:57

gwe, thanks for posting the chart with 'plain English'.
Defnitely easier to understand!

But plain English or not, this chart has always confused me.

For example: my reaction to PN is all GI.....but I don't have the first on the list (oral itching, tingling, lip swelling) nor to I have #5 - thank God (loss of bowel control) but I absolutely have #2, 3 & 4 big time!

But my reaction to cumin, according to this chart, is more serious. I have #2, 3 & 4 on the respiratory chart: #2 nasal congestion & sneezing, #3 runny nose & marked congestion, and #4 hoarseness & barky cough.

Yet, according to the chart I should be using epi for the cumin reaction! I consider my PA reactions serious and my cumin reactions nothing much.

And according to the chart, I should have used epi a time or two when flying as I get hoarse or cough when pn's are served.

I don't get it. Am I not understanding the chart or does the chart making a 'bigger deal' of symptoms than I do?

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By Daisy on Tue, 08-29-06, 01:31

Adele,

For many years, I would only get GI symptoms...never even realized it was food allergies. Thank goodness for a good GI Doc that recognized my symptoms and referred me to a great Allergist.

[b]Adele[/b],
I think the hoarseness in the chart means "all of a sudden," not like you have been hoarse because of a cold. But hoarse like your throat is swelling. Same for the "barky cough".

Does your throat "feel" tight. Do you feel a "funny sensation" when swallowing when you get hoarse.

Remember, this is a chart for grading symptoms in children. It is a reference [i]guide[/i]. Because many children cannot express their symptoms, this chart is a guide for looking at what you can *see* or *hear* in them.

I just use it as a guide for myself, or my DH (I keep a copy in my purse). Or perhaps to show to a doubting ER Doc.

BTW, I liked your article from Dr Wood on GI reactions. Really cleared some things up. Even many Allergists are not *on board* with the whole GI thing.

Thanks,
Daisy

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By Adele on Tue, 08-29-06, 03:50

Hi Daisy,
Thanks for the info that this is a chart to help figure out kids symptoms. That makes sense!

The hoarseness does come on within minutes - it's definitely allergy/asthma related. Same with the barky cough....though not always at the same time - but never throat tightness or difficulty swallowing.

I agree with you - 'just GI' is difficult to figure out.

Thanks,
Adele

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By Daisy on Tue, 08-29-06, 04:04

Quote:Originally posted by Adele:
[b]But my reaction to cumin, according to this chart, is more serious. I have #2, 3 & 4 on the respiratory chart: #2 nasal congestion & sneezing, #3 runny nose & marked congestion, and #4 hoarseness & barky cough.

Yet, according to the chart I should be using epi for the cumin reaction! I consider my PA reactions serious and my cumin reactions nothing much.
[/b]

Oh no! Adele! You do not have cumin allergy in AZ? How on earth do you eat out there?

Daisy

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By Adele on Tue, 08-29-06, 04:32

....very carefully!

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By KS mom on Mon, 09-04-06, 01:52

raising

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By Daisy on Fri, 10-13-06, 23:35

More newbies!

Be sure to print & keep w/ your Epi's.

Daisy

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By Daisy on Sun, 10-29-06, 02:50

Bump

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By PA Newbie on Thu, 11-02-06, 22:10

Thank you so much for this. I just printed out four copies for everyone who keeps dd. This is great!

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By Gail W on Thu, 11-09-06, 00:15

Linking to the article that has this chart : [url="http://uumor.pair.com/nutalle2/peanutallergy/Forum1/HTML/008589.html"]http://uumor.pair.com/nutalle2/peanutallergy/Forum1/HTML/008589.html[/url]

[This message has been edited by Gail W (edited November 08, 2006).]

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By Daisy on Mon, 11-20-06, 00:49

Bump...

BTW, thanks for linking this Gail. It really helps to have both articles.

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By Daisy on Tue, 01-02-07, 14:26

for pdaisey

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By onedayatatime on Wed, 01-24-07, 17:13

T

[This message has been edited by onedayatatime (edited September 07, 2007).]

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By Daisy on Fri, 02-02-07, 16:31

for newbies

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By Daisy on Mon, 02-26-07, 04:52

more newbies

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By Daisy on Sun, 04-01-07, 02:29

Sheryl and other newbies,

Welcome! It's nice to print a copy of this chart, add your Dr's name and number on the back, a list of allergies, etc...and laminate it. **Keep with you at all times.**

When in doubt, go with your instincts. Call 911 and don't delay the Epi.

You can also discuss this chart w/ your Doc as to how he wants you to proceed.

Take care,
Daisy

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By chanda4 on Sun, 04-01-07, 02:36

I love this chart...I also was given a suggestion, that when in doubt, go ahead and call 911...at least while you're tryingt o decide weather the reaction needs the Epi or not, at least EMS will be on the way...they can also help determine the situation once they are there. I requested our school go ahead and call 911 when in doubt....rather then wasting 15 min trying to decide what to do....just an idea(it was given to me and it made sense!)

------------------
Chanda(mother of 4)
Sidney-8 (beef and chocolate, grasses, molds, weeds, guinea pig & asthma)
Jake-6 (peanut, all tree nuts, eggs, trees, grasses, weeds, molds, cats, dogs, guinea pig & eczema & asthma)
Carson-3 1/2 (milk, soy, egg, beef and pork, cats, dog, guinea pig and EE)
Savannah-1 (milk and egg)

__________________

Chanda(mother of 4)
Sidney-8 1/2(beef and chocolate, grasses, molds, weeds, guinea pig, hamster & asthma)
Jake-6 1/2(peanut, all tree nuts, all seeds(sesame, sunflower, poppy, pine nut) beef, chicken, eggs, coconut, green beans/all beans, trees, grasses,

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By Adele on Tue, 05-29-07, 17:17

Raised for Gabby.

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By hapi2bgf on Wed, 05-30-07, 15:37

Wow! I like the plain English version, but both are scary! I loved our initial allergist, but nobody could ever make it clear what exactly the signs of anaphylaxis are and when you administer Benadryl vs. get the epi-pen and use and call 911 asap. Great article! Boy am I getting an education recently!!!

Thanks for all the info and help from the pros [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img]

__________________

-----------------------
-hapi
I'm a celiac (biopsied 2003) Mom of two. anaphylactic to PCN.
* Daughter, 6 anaphylactic to peanuts and tree nuts. Allergic to PCN.
*Daughter, 2 Allergy to dairy & casein, and PCN. Suspect shellfish allergy too.
Plus two dog

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By Daisy on Mon, 06-04-07, 04:14

bumping for psufan1996

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By McCobbre on Thu, 06-28-07, 22:58

reraising

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My posts may not be published by anyone without getting express written consent by me.

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By saknjmom on Mon, 07-30-07, 19:13

reraising

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By Daisy on Wed, 09-12-07, 00:48

Raising for our newbies.

Print this & keep with your Epi kit/Benadryl.

Good luck,
Daisy

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