Biphasic anaphylaxis reaction in adult female: how to approach?

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dc.contributor.authorNirmala, PADen_US
dc.contributor.authorSuryana, K.en_US
dc.date.accessioned2025-05-09T07:21:00Z
dc.date.available2025-05-09T07:21:00Z
dc.date.issued2024-10
dc.description.abstractAnaphylaxis is a severe allergic reaction, usually occurring one to two hours after exposure to an allergen, that can lead to death. Estimated lifetime prevalence of anaphylaxis is 1.6-5.1%, with global incidence between 50 to 112 episodes per 100.000 persons per year. Biphasic anaphylaxis is a form of recurrent anaphylaxis occurring between 1 to 72 hours after resolution of initial anaphylactic episode. Our case presents an 18-year-old female patient admitted to the emergency department (ED) with chief complaint of shortness of breath and swollen eyes after contact with caterpillar while gardening. General physical examination presented tachycardia, tachypnea, angioedema, urticaria. Localized lung examination presented bilateral wheezing. Patient fulfilled NIAID/FAAN criteria. Patient was administered 0.3 mg epinephrine intramuscular, diphenhydramine injection 10 mg, dexamethasone injection 5 mg, and observed in ED for 1 hour. Patient was then transferred to intensive care unit (ICU) and was in resolution. However, patient presented again with initial symptoms of dyspnea, swollen eyes, and itchiness while under observation. The objective of this paper is to present a rare case of biphasic anaphylaxis and further highlight the importance of awareness to occurrence of biphasic anaphylaxis.en_US
dc.identifier.affiliationsDepartment of Internal Medicine, Wangaya Regional General Hospital, Bali, Indonesiaen_US
dc.identifier.affiliationsDepartment of Internal Medicine, Merpati Clinic, HIV and Allergy-Immunology Services Unit, Wangaya Hospital, Bali, Indonesiaen_US
dc.identifier.citationNirmala PAD, Suryana K.. Biphasic anaphylaxis reaction in adult female: how to approach? . International Journal of Advances in Medicine. 2024 Oct; 11(5): 511-514en_US
dc.identifier.issn2349-3925
dc.identifier.issn2349-3933
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/242902
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber5en_US
dc.relation.volume11en_US
dc.source.urihttps://doi.org/10.18203/2349-3933.ijam20242316en_US
dc.subjectAnaphylactic reactionen_US
dc.subjectBiphasic anaphylaxisen_US
dc.subjectAllergyen_US
dc.titleBiphasic anaphylaxis reaction in adult female: how to approach?en_US
dc.typeJournal Articleen_US
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