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. 2021 Jun 22;9(9):3308–3320.e3. doi: 10.1016/j.jaip.2021.06.010

Table E2.

Ring and Messmer grading for allergic reactionsE2

Grade 1: Cutaneous signs
 Urticaria
 Angioedema
 Generalized erythema
Grade 2: Measurable but not life-threatening symptoms
 Cutaneous signs
 Hypotension (defined as a decrease of more than 30% in blood pressure with tachycardia)
 Cough
 Difficulty with mechanical ventilation
Grade 3: Life-threatening symptoms
 Cardiovascular collapse
 Tachycardia or bradycardia (due not include mild sinus tachycardia)
 Arrhythmias
 Severe bronchospasm
Grade 4: Death
 Cardiac arrest
 Respiratory arrest