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A case of anaphylaxis?
  1. Hazel Morrison,
  2. Guruswamy Vijayakumar
  1. Emergency Department, North Middlesex University Hospital, London, UK
  1. Correspondence to Dr Hazel Morrison, Emergency Department, North Middlesex University Hospital, Sterling Way, London N18 1QX, UK; hazelmorrison{at}

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A 72-year-old female presented by ambulance with severe difficulty in breathing and facial swelling, initially attributed to anaphylaxis caused by taking ibuprofen. Further questioning revealed she had slipped in the bathroom and hit her back prior to requiring analgesia. Past medical history included Chronic Obstructive Pulmonary Disease (COPD) and dementia.

On examination, …

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