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Symptoms and signs of anaphylaxis

Symptoms and signs of anaphylaxis
Skin
Feeling of warmth, flushing (erythema), itching, urticaria, angioedema, and "hair standing on end" (pilor erection)
Oral
Itching or tingling of lips, tongue, or palate
Edema of lips, tongue, uvula, metallic taste
Respiratory
Nose - Itching, congestion, rhinorrhea, and sneezing
Laryngeal - Itching and "tightness" in the throat, dysphonia, hoarseness, stridor
Lower airways - Shortness of breath (dyspnea), chest tightness, cough, wheezing, and cyanosis
Gastrointestinal
Nausea, abdominal pain, vomiting, diarrhea, and dysphagia (difficulty swallowing)
Cardiovascular
Feeling of faintness or dizziness; syncope, altered mental status, chest pain, palpitations, tachycardia, bradycardia or other dysrhythmia, hypotension, tunnel vision, difficulty hearing, urinary or fecal incontinence, and cardiac arrest
Neurologic
Anxiety, apprehension, sense of impending doom, seizures, headache and confusion; young children may have sudden behavioral changes (cling, cry, become irritable, cease to play)
Ocular
Periorbital itching, erythema and edema, tearing, and conjunctival erythema
Other
Uterine cramps in women and girls
Original figure modified for this publication. Simons FER. Anaphylaxis. J Allergy Clin Immunol 2010; 125:S161. Table used with the permission of Elsevier Inc. All rights reserved.
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