Allergic reaction

Very low urgency
Very common-

An allergic reaction is an exaggerated reactivity of the body to certain substances (allergens) that are harmless to most people.

It seems to be caused by a combination of genetic predisposition and exposure to such allergens (e.g. pollen, dust mites, animal hair dander, insect bites, plants, drugs, food, occupational allergies due to prolonged contact with substances, physical agents, etc.).

The vast majority of allergic reactions are mild, but some can be severe and even fatal, depending on whether the body's response is local or generalized.

The most frequent clinical manifestations are itching, skin reaction in the form of hives, wheals or redness (urticaria), red eyes and nasal congestion, and may also be accompanied by coughing, difficulty in swallowing, wheezing, palpitations, anxiety, abdominal pain, diarrhea, dizziness, vertigo, swelling, loss of consciousness, flushing, reddening of the face, disorientation, etc.

Diagnosis is based primarily on clinical history and a complete physical examination, although your physician may request blood tests and allergy skin tests.

In terms of treatment, the most important thing is to identify, remove and avoid the allergen that is causing the allergic reaction. Your physician will decide which drugs are indicated to minimize the symptoms caused by the allergen (anti-inflammatory drugs, bronchodilators, leukotriene inhibitors and monoclonal antibody therapy).

Bibliographic references
  1. Ronna L Campbell, John M Kelso. Anaphylaxis: Acute diagnosis. UpToDate. Jul 25, 2016.
  2. Werner J Pichler. An approach to the patient with drug allergy. UpToDate. Apr 10, 2015.
  3. Bruce Zuraw, Clifton O Bingham, III. An overview of angioedema: Clinical features, diagnosis, and management. UpToDate Jul 21, 2015.
  4. Caballero T, Baeza ML, Cabañas R, et al. Consensus statement on the diagnosis, management, and treatment of angioedema mediated by bradykinin. Part I. Classification, epidemiology, pathophysiology, genetics, clinical symptoms, and diagnosis. J Investig Allergol Clin Immunol 2011; 21:333.
  5. Paula Sánchez López, Eva Marchán Martín, Ángel Moral de Gregorio, Domingo García Almagro. Urticaria,angioedema y anafilaxia. Manual de protocolos y actuación en urgencias. Hospital Virgen de la Salud, Complejo Hospitalario de Toledo. Tercera edición. 2010. 1201:1207.
  6. Joshua A. Boyce, K. Frank Austen. Alergias, anafilaxia y mastocitosis sistémica. Harrison. Principios de Medicina Interna. Volumen 2. 19º Edición. 2113:2120.
Author
Dr. Oscar Garcia-Esquirol
Copyright
© TeckelMedical 2026

Symptoms

    Reddened skin


    Swelling


    Itchy skin


    Skin rash


    Intense itch in palms of hands, soles of feet and/or scalp

Symptoms to watch out for

Inflammation of the tongue or throat
Difficulty breathing
Vomiting
Reduction in the level of consciousness

Self-care

Antihistamines in syrup or tablet form for itching.
Avoid exposure to the allergen (dust mites, pollen, fungi, animal fur, etc.).
Avoid food allergens (egg, fish, chocolate, strawberries).