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Allergy prevalence is reported to be increasing, and anaphylaxis represents the most severe end of the spectrum of allergic disease. UK data show a lifetime prevalence of anaphylaxis of 75.5 per 100 000, similar to epidemiological studies in the USA.1 There are approximately 20 deaths from anaphylaxis per year reported in the UK, although this may be a significant underestimate.2 The Resuscitation Council UK guidelines recommend that ‘All patients presenting with anaphylaxis should be referred to an allergy clinic/service to identify the cause, and thereby reduce the risk of future reactions and prepare the patient to manage future episodes’.3 However, the widespread impression among those providing specialised allergy services is that such patients …
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