There is really little difference for us in this guideline. Tryptase levels should be taken in AE immediately and between 1 and 4 hours. Raised levels suggest anaphylaxis.

They should be referred to an allergy service, with an adrenaline injector whilst they wait to be seen.

Louise Hudman

I'm a freelance GP locum in Winchester & Southampton locum chambers, and Pallant Medical Chambers Clinical Guidelines Lead Partner.

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