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. Author manuscript; available in PMC: 2017 Mar 1.
Published in final edited form as: J Allergy Clin Immunol. 2015 Oct 6;137(3):868–878. doi: 10.1016/j.jaci.2015.07.048

TABLE II.

Brighton Collaboration case definition of anaphylaxis12

For all levels of diagnostic certainty:
Anaphylaxis is a clinical syndrome characterized by
 • sudden onset AND
 • rapid progression of signs and symptoms AND
 • multiple (≥2) organ systems, as follows:
  Level 1 of diagnostic certainty
   • ≥1 major dermatological AND
   • ≥1 major cardiovascular AND/OR ≥1 major respiratory criterion
  Level 2 of diagnostic certainty
   • ≥ 1 major cardiovascular AND ≥1 major respiratory criterion
  OR
   • ≥1 major cardiovascular OR respiratory criterion AND
   • ≥1 minor criterion involving ≥1 different system (other than
    cardiovascular or respiratory systems)
  • (≥1 major dermatologic) AND (≥1 minor cardiovascular AND/OR
    minor respiratory criterion)
  Level 3 of diagnostic certainty
   • ≥1 minor cardiovascular OR respiratory criterion AND
   • ≥1 minor criterion from each of ≥2 different systems/categories