Pulmonary edema

Pulmonary edema is rarely described in multisystem anaphylaxis, but is a common postmortem finding in death from anaphylactic shock. As a sole clinical feature it has been attributed to delayed reactions to protamine after cardiac bypass and reactions to plasma solutions, particularly in IgA-deficient patients. Acute pulmonary edema during anaphylaxis is usually non-cardiogenic, but heart failure may occur. It is important to remember that a volume deficit occurs in association with severe non-cardiogenic pulmonary edema.

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