Biphasic systemic anaphylactic reaction: three illustrative cases.
We report on three patients with early mild systemic reactions triggered by administration of rabies vaccine, immunotherapy with rye grass extract, or yellow jacket sting. After appropriate treatment, these early cutaneous and respiratory symptoms improved considerably, but then flared up three and one half to four hours later. All three patients had specific IgE antibodies against their offending allergen.
D000328:Adult; D000485:Allergens / Q000008:administration & dosage; D000707:Anaphylaxis / Q000209:etiology / Q000276:immunology*; D000818:Animals; D003876:Dermatitis, Atopic / Q000209:etiology / Q000276:immunology*; D006801:Humans; D007073:Immunoglobulin E / Q000096:biosynthesis; D007167:Immunotherapy / Q000009:adverse effects; D007299:Insect Bites and Stings / Q000150:complications; D008297:Male; D008875:Middle Aged; D011819:Rabies Vaccines / Q000009:adverse effects; D012130:Respiratory Hypersensitivity / Q000209:etiology / Q000276:immunology*
D000485:Allergens; D011819:Rabies Vaccines; D007073:Immunoglobulin E