Credit to Dr Todd Taylor for finding the article and sharing on the ED Listserv.
Article by Anand Swaminathan
Main take-away points:
- shellfish allergies do not crossover to IV contrast – we shouldn’t even be asking this question
- pretreatment only helps hives, no statistical significance for major complications
- interesting discussion between anaphylactic reactions (mast cell degranualtion secondary to antibodies from previous exposure) to anaphylactoid reactions (no antibodies involved)!
Read for yourself!
Will this change your practice patterns?