Medico-Legal Diagnosis in Sudden Death from Anaphylaxis (pp. 61-90)
Authors: (Esperanza Navarro Escayola, Juan Carlos Canůs Villena, IML Laboratory in Alicante, Spain, and others)
Abstract: The anaphylactic reaction is an infrequent cause of sudden death whose diagnosis and confirmation often involve great clinical and forensic complexity, which means that the exact incidence of fatal anaphylaxis is unknown. Postmortem analyses of specific Ig E and serum tryptase levels performed in recent years in cases of sudden death indicate that the true incidence of death due to anaphylaxis may be under-estimated. Therefore, there is a need to develop a protocol for action in sudden death cases where anaphylaxis is suspected. This chapter presents a review of the different studies and findings that are most characteristic of this pathology, and it proposes a model for an action protocol in cases in which anaphylaxis is suspected.