Markers of anaphylaxis - a systematic review

Adv Med Sci. 2018 Sep;63(2):265-277. doi: 10.1016/j.advms.2017.12.003. Epub 2018 Mar 20.

Abstract

Anaphylaxis is defined as severe, life-threatening, systemic or general, immediate reaction of hypersensitivity, with repeatable symptoms caused by the dose of stimulus which is well tolerated by healthy persons. The proper diagnosis, immediate treatment and differential diagnosis are crucial for saving patient's life. However, anaphylaxis is relatively frequently misdiagnosed or confused with other clinical entities. Thus, there is a continuous need for identifying detectable markers improving the proper diagnosis of anaphylaxis. Here we presented currently known markers of anaphylaxis and discussed in more detail the most clinically valuable ones: tryptase, platelet activacting factor (PAF), PAF-acethylhydrolase, histamine and its metabolites.

Keywords: Anaphylaxis; Histamine; Mast cell; Platelet activating factor; Tryptase.

Publication types

  • Systematic Review

MeSH terms

  • Anaphylaxis / diagnosis
  • Anaphylaxis / genetics
  • Anaphylaxis / metabolism*
  • Biomarkers / metabolism*
  • Histamine / metabolism
  • Humans
  • Platelet Activating Factor / metabolism
  • Tryptases / metabolism

Substances

  • Biomarkers
  • Platelet Activating Factor
  • Histamine
  • Tryptases