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Does anaphylaxis look different in infants and toddlers as compared to older patients?

Does anaphylaxis look different in infants and toddlers as compared to older patients?

English Transcript

Allergist Michael Pistiner, MD: Yeah, it does. Anaphylaxis in an infant or a toddler, an infant is a kid less than age one. A toddler is a kid between 1 and three. Anaphylaxis may be a little bit different to pick up on, to recognize because infants and toddlers, they can’t use their words. They can’t talk. And so the signs and symptoms that a bigger kid or a grown-up could tell us about their feelings about what they’re feeling in their body, these little ones can’t.

And so if someone is feeling itchy, a baby won’t be able to say it, but a baby might scratch their tongue. A baby might put their fingers in their ears, mouth an object, rub their skin, rub up against the carpet. Um, a bigger kid might say they’re short of breath. A baby might have increased work of breathing and you might see their nose or their ribs or their belly go up and down.

A baby may have belly pain but can’t say that their tummy hurts but bring their knees up, arch their back, cry, get irritable. A baby might also have a change in mental status. They might get tired, irritable, cranky, not expected behavior. Where a bigger kid or a grown-up might say, “I’m feeling horrible. I’m dizzy. I’m lightheaded.”

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