anaphalaxis without asthma?anyone?

Posted on: Tue, 02/12/2002 - 4:36am
latymom's picture
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Joined: 05/21/2000 - 09:00

Is there anyone here who has experienced closing of the airways from a reaction to peanut/treenut, who doesn't have asthma? I just wondered if having asthma is a pre-requisite to having anaphalxis? If it's not, what would you say the percentage is?

Posted on: Tue, 02/12/2002 - 6:54am
PattyR's picture
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Joined: 04/12/2002 - 09:00

My son does not have asthma but he has had anaphlylaxis. His first symptom is tightening of the throat. His breathing has never gotten to a dangerous point and his reactions have always been controlled before he gets into serious trouble.

Posted on: Tue, 02/12/2002 - 7:56am
AlwaysAvoidAnaphylaxis's picture
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Joined: 06/23/2001 - 09:00

You do not need to have asthma to have the airways close during anaphylaxis. However, those that do have asthma (especially when it develops before age 3) are more likely to have closed airways more quickly during anaphylaxis than those without asthma.
Our allergist who is well known to many told me that.

Posted on: Tue, 02/12/2002 - 11:23am
anonymous's picture
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Joined: 05/28/2009 - 16:42

My son w/PA and TNA does not have asthma and has experienced anaphylaxis. At one point we thought we were heading down that road, but then found out that there were allergens present that were giving him a hard time. After the allergens were removed, he was fine, and has been fine ever since. I'm not ruling out that he could develop it at any time, though.
Tammy

Posted on: Wed, 02/20/2002 - 4:14am
Corvallis Mom's picture
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Joined: 05/22/2001 - 09:00

No, our dd (age 3) does not (yet- knock wood! [img]http://uumor.pair.com/nutalle2/peanutallergy/wink.gif[/img] ) have asthma, and she has experienced anaphylaxis twice.
As a very interesting side note- airway narrowing is the LAST systemic symptom to develop in her. This has been a tremendous problem in handling allergic emergencies, since EMTs and even ER physicians are generally skeptical about "real" anaphylaxis unless they hear wheezing. Our allergist has now told us that we will have to be much more assertive (to the point of obnoxiousness, if needed) and remind them that they "have a pediatric blood pressure cuff- use it."
Our daughter's symptoms have included panic (first symptom), hives, edema, nasal symptoms (that pouring nose! [img]http://uumor.pair.com/nutalle2/peanutallergy/rolleyes.gif[/img] ), drooling, that "funny" cough, coloration changes, vomiting, and most chilling of all, lethargy and unresponsiveness within ten minutes or so of onset. But note- no wheezing.
So no- anaphylaxis does NOT require asthma, EVEN DURING A SEVERE REACTION and our daughter is a prime example of a patient who gives the lie to that myth. She has as little time as someone with airway symptoms- and blood pressure loss is just as likely to lead to death.

Posted on: Thu, 02/21/2002 - 9:24am
latymom's picture
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Joined: 05/21/2000 - 09:00

Wow, Corvalli's Mom, thanks for the info. I never even thought of the decrease in blood pressure as being an issue. Never even crossed my mind and I've been dealing with this for 3 years. Did you have to use the Epi-pen? If so, what was that experience like? What had your child ingested to have such bad reactions? Was it a whole nut or just a trace? I'm very interested in your story. Thanks. And thanks to everyone else who responded.

Posted on: Fri, 02/22/2002 - 6:54am
Corvallis Mom's picture
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Joined: 05/22/2001 - 09:00

We've had two instances of anaphylaxis-
One at our dd's initial exposure at about 1 year old(May 2000). That one was ingestion of just enough pb to thinly coat a single cheerio (what we thought was her first exposure). PN reactions are pretty much instant- she's down within a minute or two. We did not have epinephrine to administer at the time, obviously.
The second anaphylaxis incident was on Feb 5, 2002. This reaction was probably not to pn at all. We suspect that this reaction (which was biphasic) was actually to a tiny sprinkling of paprika on mashed potatoes. The history of this reaction was that about five hours after ingestion, she experienced vomiting with no other symptoms, and then four hours after THAT, went into anaphylaxis over a period of about ten minutes, beginning with vomiting and progressing to shock. We are still awaiting RAST information to say for certain if that is what caused the reaction. I am ashamed to confess that though we quickly gave oral medication (as soon as first hive appeared), we did not administer epinephrine. [img]http://uumor.pair.com/nutalle2/peanutallergy/redface.gif[/img] I was concerned about distressing her any further. In my defense, we live less that four minutes from the ER. Our allergist took me to task, obviously... my only consolation is that I suspect the ER staff is going to hear from him too.
I would say that our daughter's common (regardless of cause) anaphylaxis features are:
1. panic
2. hives and swelling (within four or five minutes of onset)
3. shock/blood pressure drop(within ten to fifteen minutes of onset)
Her other symptoms seem to vary.
Our daughter IS relatively unusual in her anaphylaxis features- but according to our allergists, she isn't unique. Given the lack of predictability, I would theorize that it could happen to anyone with PA.

Posted on: Sun, 02/24/2002 - 4:56am
Sable247's picture
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Joined: 01/26/2002 - 09:00

Latymom,
I'm a PA adult. I had a history of asthma as a child. I had a few incidents of true asthma since adulthood. I have been fighting with doctors since 1997, telling them I couldn't breathe in my throat, their response "you're not wheezing, your lungs sound clear, here's some asthma medicine".
My reactions have become severely worse since late December 2000. Finally in 2001 a ER doctor says "You're not having Asthma you having Anaphlaxis. You must be sure to tell ER personnel that, because the treatments for both are quite different". Now I know alot about medical things, but I have to admit I didn't see Anaphlaxis coming.
Corvallis Mom, I can relate to the Panic that is felt at the onset of Anaphlaxis. Things just start happening so fast. And you're trying to think, at the same time you're not getting enough air. The difference. NO WHEEZING. Don't beat yourself up. You're not a medical expert. If you know how much medical information I knew, you'll would be surprised that it crept up on me. That's why we are all here on this site to share and learn information.
Once I found out the truth, I made it my business to understand Anaphlaxis better, and to make sure I was definitely equipmented with more than enough Benadry, and Adrenalin (EpiPen), but mine is multi dose. I draw it out of a vial. I'm glad your little one is okay now. Take care. BE SAFE. [img]http://uumor.pair.com/nutalle2/peanutallergy/smile.gif[/img]

Posted on: Thu, 02/28/2002 - 2:30am
momjd's picture
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Joined: 02/24/2002 - 09:00

Is there any way to know whether or not your child will be anaphalaxic without finding out "the hard way"? I've seen many of you lisitng specifically what your child is anaphalixic to and was just wondering how you found out.

Posted on: Thu, 02/28/2002 - 8:12am
Corvallis Mom's picture
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Joined: 05/22/2001 - 09:00

momjd,
Unfortunately, the answer is no. Generally, reactions that have been severe (first reactions) tend in the anaphylactic direction, but nobody knows for sure why some people do and some don't. Not even CAP RAST scores or multiple allergies or severe asthma are good predictors. The more high risk factors a person has, it seems, the greater the chances... but no guarantees. PA can go anaphylactic at any time in any person, which is the reason every person with PA must carry epinephrine.

Posted on: Fri, 03/01/2002 - 12:06am
cspindor's picture
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Joined: 01/03/2002 - 09:00

My daughter is a severe asthmatic who has experienced over a dozen anaphylactic episodes that required epi to stop the anaphylaxis. (Three required multiple doses of epi.) I can definitely tell you that laryngeal and bronchial edema can be so quick that EMT and ER personnel won't always hear the "wheeze". In fact, the most prominent sign, other than that loud "barky" cough, is the absence of sound.
Fortunately, our local EMT/ER personnel are accustomed to my daughter, so they respond quickly.
You definitely do not have to have asthma to suffer an anaphylactic episode, however, asthmatics in general need to be more cautious because it can effect the respiratory system more quickly and can lead to respirtory failure.
Many, many asthmatics do not wheeze. A "coughing" attack, esp. at night can be the only symptom of asthma. Watch out for the absence of sound.

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