Outcomes after comprehensive evaluation. Of the 30 patients consecutively referred to our center, 4 were excluded (1 patient <18 years old, 1 patient lived outside US, 2 patients declined participation), 26 patients were enrolled and 25 patients completed our comprehensive evaluation. Of these 25 patients, 8 have undergone subsequent anesthesia and 1 was lost to follow up. All 5 patients with a positive skin test tolerated the subsequent anesthesia. One of three patients that had negative skin testing had a mild reaction with subsequent anesthesia.