Poor asthma control remains a risk factor for severe anaphylaxis

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We have read with interest the report by Dribin et al investigating the association between history of asthma and anaphylaxis severity in children 1. The authors concluded that children hospitalized for anaphylaxis with a past medical history of asthma were not more likely to have severe anaphylactic reactions compared with children without asthma. However, we noticed that asthma control status at the time of anaphylaxis was not determined in the study. As mentioned by the authors, a position paper from the European Academy of Allergy and Clinical Immunology identifies asthma as a risk factor for fatal anaphylaxis, but it does also specify that this mainly concerns ”severe and uncontrolled asthma” 2.

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