Anaphylaxis - top articles for October 2014

Here are my suggestions for some of the top articles about anaphylaxis from the last 4-6 weeks:

The new-generation, sublingual epinephrine tablets have similar bioavailability to epinephrine injected IM in thigh

Epinephrine auto-injector "pandemic"

Patient perceptions of epinephrine auto-injectors: exploring barriers to use

Effect of instruction: not sufficiently skilled to use EpiPen after only one instruction session with a specialist

How easy to use is Auvi-Q epinephrine autoinjector? 95% of children were successful on first attempt (mean age 11)

The AAAAI Anaphylaxis Wallet Card is a practical, concise anaphylaxis education mini-handout for pediatric residents

Tick bites and red meat allergy: Large numbers of patients with IgE Ab to alpha-gal continue to be identified. Two distinct forms of anaphylaxis: immediate-onset anaphylaxis during first exposure to intravenous cetuximab and delayed-onset anaphylaxis 3–6 h after ingestion of mammalian food products (e.g. beef and pork).

Prevention of anaphylaxis in healthcare settings - know the high risk areas listed here:

Anaphylaxis in the young adult population: The most common trigger is food

Foods are the most common triggers for anaphylaxis, followed by drugs, insect stings, and idiopathic causes

Anaphylaxis: underdiagnosed, underreported, and undertreated. Epinephrine, the first-line treatment, was used in less than 50% of cases

Serum basal tryptase may be a good marker for predicting risk of anaphylaxis in children with food allergy

The articles were selected from my Twitter stream @Allergy and RSS subscriptions. Some of the top allergy accounts on Twitter contributed links. I appreciate the curation provided by @Aller_MD @AllergyNet @IgECPD4 @DrAnneEllis @mrathkopf

Please feel free to send suggestions for articles to and you will receive acknowledgement in the next edition of this publication.

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