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A Case of Anaphylaxis with Unusual Clinical Presentation that Obscured Early Diagnosis
이세욱, 정재윤, 서동범, 김도균, 곽영호,
소속 상세정보
이세욱 ( Lee Se-Uk )
서울대학교 의과대학 응급의학교실
정재윤 ( Jung Jae-Yun )
서울대학교 의과대학 응급의학교실
서동범 ( Suh Dong-Bum )
서울대학교 의과대학 응급의학교실
김도균 ( Kim Do-Kyun )
서울대학교 의과대학 응급의학교실
곽영호 ( Kwak Young-Ho )
서울대학교 의과대학 응급의학교실
KMID : 1037620140010020112
Abstract
Anaphylaxis is a severe systemic allergic reaction, which progresses rapidly and may cause death. However, the diagnosis of anaphylaxis is difficult because initial symptoms and signs of anaphylaxis have various patterns. We reported a case of anaphylaxis with unusual clinical presentation that made diagnosis difficult. A 14-year-old male presented emergency department with dizziness and temporary hypotonia. While observing his symptom, the patient’s blood pressure decreased rapidly. After thorough history taking, we found out that he had been suffered from pruritus and nausea for two days. The patient received a large volume of crystalloid and intramuscular epinephrine. And the blood pressure recovered soon. When physicians evaluate patients with respiratory or circulatory compromise, we should consider the possibility of anaphylaxis through careful history taking and administer epinephrine immediately if necessary.
키워드
Muscle Hypotonia; Anaphylaxis; Hypotension; Epinephrine
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