{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,10]],"date-time":"2026-01-10T19:47:37Z","timestamp":1768074457128,"version":"3.49.0"},"reference-count":5,"publisher":"Oceanside Publications Inc.","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["allergy asthma proc"],"published-print":{"date-parts":[[2023,9,1]]},"abstract":"<jats:p><jats:bold>Background:<\/jats:bold> We present a case of a 37 year old man with a history of human immunodeficiency virus, latent syphilis, anxiety, posttraumatic stress disorder. attention deficit\/hyperactivity disorder, multiple drug intolerance syndrome who presented with concerns of recurrent\n episodes of rash and respiratory symptoms with questionable \u201canaphylaxis\u201d episodes without clear etiology or known trigger.  <jats:bold>Methods:<\/jats:bold> To evaluate some of the potential causes of recurrent anaphylaxis in our patient. Further evaluation through laboratory analysis\n and ultimately direct visualization of the patient\u2019s vocal cords by laryngoscopy assisted in the final diagnosis.  <jats:bold>Results:<\/jats:bold> Inappropriate adduction of the vocal cords was observed during an acute reaction.  <jats:bold>Conclusion:<\/jats:bold> The patient\u2019s presentation\n was consistent with inducible laryngeal obstruction and highlights the importance of confirming a suspected diagnosis of anaphylaxis and keeping a broad differential when establishing an etiology.<\/jats:p>","DOI":"10.2500\/aap.2023.44.230048","type":"journal-article","created":{"date-parts":[[2023,9,6]],"date-time":"2023-09-06T07:34:46Z","timestamp":1693985686000},"page":"374-376","source":"Crossref","is-referenced-by-count":9,"title":["A masquerade of recurrent anaphylaxis"],"prefix":"10.2500","volume":"44","author":[{"given":"Lauren N.","family":"Gabreski","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meredith M.","family":"Schuldt","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karla E.","family":"Adams","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1355","reference":[{"key":"B1","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1016\/0091-6749(81)90180-9","article-title":"Skin testing to detect penicillin allergy","volume":"68","author":"Sullivan","year":"1981","journal-title":"J Allergy Clin Immunol"},{"key":"B2","doi-asserted-by":"crossref","first-page":"445","DOI":"10.1159\/000230197","article-title":"Minor haptenic determinant-specific reagins of penicillin hypersensitivity in man","volume":"35","author":"Levine","year":"1969","journal-title":"Int Arch Allergy Appl Immunol"},{"key":"B3","doi-asserted-by":"crossref","first-page":"547","DOI":"10.1016\/j.iac.2019.07.008","article-title":"Vocal cord dysfunction: the spectrum across the ages","volume":"39","author":"Petrov","year":"2019","journal-title":"Immunol Allergy Clin North Am"},{"key":"B4","doi-asserted-by":"crossref","first-page":"599","DOI":"10.1016\/j.anai.2020.06.031","article-title":"Drug-associated inducible laryngeal obstruction complicating penicillin allergy testing","volume":"125","author":"Raley","year":"2020","journal-title":"Ann Allergy Asthma Immunol"},{"key":"B5","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1016\/j.jaip.2017.08.020","article-title":"Drug-induced paradoxical vocal fold motion","volume":"6","author":"Garcia-Neuer","year":"2018","journal-title":"J Allergy Clin Immunol Pract"}],"container-title":["Allergy and Asthma Proceedings"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ingentaconnect.com\/content\/ocean\/aap\/2023\/00000044\/00000005\/art00015","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,6]],"date-time":"2023-09-06T07:34:51Z","timestamp":1693985691000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ingentaconnect.com\/content\/10.2500\/aap.2023.44.230048"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9,1]]},"references-count":5,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2023,9,1]]}},"alternative-id":["1088-5412(20230901)44:5L.374;1-"],"URL":"https:\/\/doi.org\/10.2500\/aap.2023.44.230048","relation":{},"ISSN":["1088-5412"],"issn-type":[{"value":"1088-5412","type":"print"}],"subject":[],"published":{"date-parts":[[2023,9,1]]}}}