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. 2018 Dec 22;14(9):540–553. doi: 10.6026/97320630014540

Table 3. Simon Brown three-tier system of classification.

Grade Defined By
Mild Skin and subcutaneous tissues only Generalized erythema, urticaria, periorbital edema or angioedema
Moderate Featured suggesting respiratory, cardiovascular or gastrointestinal involvement Dyspnea, stridor, wheeze, nausea, vomiting, dizziness (presyncope), diaphoresis, chest or throat tightness or abdominal pain
Severe Hypoxia, hypotension or neurologic compromise Cyanosis or SpO2 less than 92 percent at any stage, hypotension (SBP less than 90 mm Hg in adults), confusion, collapse, LOC or incontinence