Two episodes of biphasic anaphylaxis in a boy allergic to wasp sting. Case report

Izabela Pędzik-Nowak; Ewa Cichocka-Jarosz

doi:10.5114/pja.2024.142787

eISSN: 2391-6052
ISSN: 2353-3854

Alergologia Polska - Polish Journal of Allergology

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3/2024
vol. 11

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abstract:

Case report

Two episodes of biphasic anaphylaxis in a boy allergic to wasp sting. Case report

Izabela Pędzik-Nowak

^{1, 2}

,

Ewa Cichocka-Jarosz

^{1, 2}

Klinika Chorób Dzieci, Katedra Pediatrii, Uniwersytet Jagielloński Collegium Medicum, Kraków, Polska
Oddział Pulmonologii, Alergologii i Dermatologii, Uniwersytecki Szpital Dziecięcy, Kraków, Polska

Alergologia Polska – Polish Journal of Allergology 2024; 11, 3: 271–276

DOI: https://doi.org/10.5114/pja.2024.142787

Online publish date: 2024/09/05

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Biphasic anaphylaxis still seems to be an issue that is poorly understood and underestimated in everyday clinical practice. Its frequency ranges from 1% to 15% of anaphylaxis from all causes. Publications addressed to this topic are still infrequent. The case report concerns a 7-year-old boy who experienced two episodes of biphasic anaphylaxis. First of them occurred during anaphylaxis caused by a wasp field sting, the other occurred during the procedure, of an initial dose of allergen immunotherapy with wasp venom. Risk factors for occurrence of biphasic anaphylaxis, as well as the rules of management, are discussed. The described case draws attention to the need for careful interviewing and observation of patients after biphasic anaphylaxis due to the possibility of its recurrence.

keywords:

Two episodes of biphasic anaphylaxis in a boy allergic to wasp sting. Case report

Izabela Pędzik-Nowak 1, 2 , Ewa Cichocka-Jarosz 1, 2

allergen immunotherapy, biphasic anaphylaxis, children, wasp venom

Izabela Pędzik-Nowak

^{1, 2}

,

Ewa Cichocka-Jarosz

^{1, 2}