Reply to the Letter to the Editor

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We thank Grigoletto et al for their thoughtful letter regarding our report.1 We agree with the authors’ conclusion that clinicians should consider history of asthma and asthma control status when managing children with anaphylaxis. In support of their conclusions, the authors cite a study evaluating anaphylactic reactions from peanuts and tree nuts in an outpatient allergy center.2 In contrast to our report, this study includes limited allergens, and may represent a more severe cohort of patients with a higher predilection for asthma and/or severe anaphylaxis based on their referral to an allergy center.

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