RT Book, Section A1 Reddy, Srijaya K. A2 Freeman, Brian S. A2 Berger, Jeffrey S. SR Print(0) ID 1102566874 T1 Drug Reactions T2 Anesthesiology Core Review: Part One Basic Exam YR 2014 FD 2014 PB McGraw-Hill Education PP New York, NY SN 9780071821377 LK accessanesthesiology.mhmedical.com/content.aspx?aid=1102566874 RD 2024/04/25 AB Anaphylaxis is a severe allergic reaction mediated by an antigen– antibody reaction, or type I hypersensitivity reaction. Antigen binding to immunoglobulin E (IgE) antibodies on the surface of mast cells initiates the release of various chemical mediators. These mediators cause specific end organ reactions in the skin, respiratory system, gastrointestinal system, and the cardiovascular system. Clinical manifestations (Table 46-1) of anaphylaxis usually appear within close proximity of exposure to a specific antigen in a previously sensitized person. Death can occur from irreversible shock or loss of airway.