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August 25, 1945


JAMA. 1945;128(17):1205-1209. doi:10.1001/jama.1945.02860340011003

Any one who treats a large number of allergic patients has had his share of emergencies. The very fact that he is dealing with hypersensitive individuals makes him more liable to accidents than other doctors. These experiences make him pause to reflect on and ponder over them, searching both for their causes and for ways of avoiding future occurrences. In the present article my own solution to this problem will be discussed, if, indeed, such a solution is possible. The subject will be presented under three headings: (A) accidents arising from skin tests, (B) accidents arising from treatment with allergenic extracts and (C) other emergencies in allergic patients.

DIAGNOSIS  Since parts 1 and 2 are concerned solely with the allergic reaction, I shall dwell briefly on its diagnosis and differential diagnosis. Regardless of whether such a reaction results from an injection of pollen extract; of animal serum, of an organic