title: Caustic ingestions mimicking anaphylaxis: case studies and literature review.
abstract: Anaphylaxis presents in children with rapid involvement of typically 2 or more organ systems including cutaneous, gastrointestinal, and respiratory. Caustic ingestions (CI) may also present with acute involvement of cutaneous, gastrointestinal, and respiratory systems. We present 2 cases of "missed diagnosis" that illustrate how CI presenting with respiratory symptoms can be mistaken for anaphylaxis owing to these similarities. Both of these patients had delay in appropriate care for CI as a result. These cases demonstrate the importance of considering CI in children who have gastrointestinal symptoms, respiratory distress, and oropharyngeal edema.
authors.affiliation: Department of Pediatrics and.
authors.forename: Michael G
authors.initials: MG
authors.lastname: Sherenian
authors.affiliation: Department of Pediatrics and.
authors.forename: Mark
authors.initials: M
authors.lastname: Clee
authors.affiliation: Divisions of Hospital Medicine.
authors.forename: Amanda C
authors.initials: AC
authors.lastname: Schondelmeyer
authors.affiliation: Otolaryngology, and.
authors.forename: Alessandro
authors.initials: A
authors.lastname: de Alarcón
authors.affiliation: Allergy/Immunology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
authors.forename: Jinzhu
authors.initials: J
authors.lastname: Li
authors.affiliation: Allergy/Immunology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
authors.forename: Amal
authors.initials: A
authors.lastname: Assa'ad
authors.affiliation: Allergy/Immunology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio kimberly.risma@cchmc.org.
authors.forename: Kimberly
authors.initials: K
authors.lastname: Risma
mesh_terms: D000061:Accidents, Home; D000707:Anaphylaxis / Q000175:diagnosis*; D001999:Bronchoscopy; D002424:Caustics / Q000506:poisoning*; D002675:Child, Preschool; D003902:Detergents / Q000633:toxicity; D003951:Diagnostic Errors; D016145:Endoscopy, Digestive System; D006801:Humans; D007828:Laryngoscopy; D008297:Male; D014342:Truth Disclosure
chemical_list: D002424:Caustics; D003902:Detergents
keywords: esophago-gastroduodenoscopy; microlaryngoscopy