Children wiht food allergy are at great risk of anaphylaxis reaching 30%. It may be mild and may disappear spontaneously.
The probability of fatal outcome is higher if anaphylaxis occurs in the child with a history of asthma, food allergy to nuts, peanuts and fish and in the case of omission or delay in giving adrenaline injection. Intramuscular adrenaline is the acknowledged first-line therapy for anaphylaxis, in hospital and in the community, and should be given as soon as the condition is recognized.