Common Causes of Anaphylaxis

Common agents known to cause anaphylaxis include:

  • Medication
  • Antibiotics, especially penicillin (the most common cause of drug induced anaphylaxis)
  • Aspirin
  • NSAIDs (the second most common cause of drug induced anaphylaxis)
  • Angiotensin Converting Enzyme Inhibitors
  • Anaesthetic agents (especially muscle relaxants) and contrast media.
  • Food
    Food, e.g. peanuts, egg and seafood. Food is the most common cause of anaphylaxis in children. The clinical cross-reactivity with other foods in the same group is unpredictable.
  • Insect stings
    Venom from stinging or biting insects can cause anaphylaxis in susceptible people
  • C1 esterase inhibitor deficiency
    C1 esterase inhibitor deficiency is usually inherited as an autosomal dominant, but also occurs with lymphoma and certain connective tissue disorders.
  • Physical triggers
    Physical triggers are less common but can include things such as exercise and cold temperatures
  • Biological fluids
    Reactions to biological fluids can also cause reactions but these are less common. These can include transfusions and semen.
  • Latex
    Again less common, but is as an IgE induced mast cell mediated reaction
  • Idiopathic
    Many cases can not be attributed to any cause.