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Letters Food anaphylaxis in the UK

Fatal anaphylaxis: making sure all cases are counted

BMJ 2021; 372 doi: (Published 15 March 2021) Cite this as: BMJ 2021;372:n691
  1. Vibha Sharma, consultant in paediatric allergy and honorary senior lecturer12,
  2. Tomaz Garcez, consultant immunologist3,
  3. Adam T Fox, professor of paediatric allergy4
  1. 1Department of Paediatric Allergy and Immunology, Royal Manchester Children’s Hospital, Manchester M13 9WL, UK
  2. 2University of Manchester, Manchester, UK
  3. 3Manchester University NHS Foundation Trust, Manchester, UK
  4. 4Guy’s and St Thomas’ Hospitals NHS Foundation Trust, London, UK
  1. vibha.sharma{at}

Baseggio Conrado and colleagues note that, although hospital admissions for food induced anaphylaxis increased between 1998 and 2018, the case fatality rate for confirmed food anaphylaxis decreased over this 20 year period, from 0.7% to 0.19%.1

Improved survival might result from better management, but misclassification of deaths should also be considered, especially as fatalities are rare. Having evaluated deaths for the United Kingdom Fatal Anaphylaxis Registry (UKFAR), we raise the …

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