Published: 18 April 2022
Author(s): Carlo Maria Rossi, Marco Vincenzo Lenti, Antonio Di Sabatino
Issue: July 2022
Section: Letter to the Editor

we read with interest the letter by Mirijello et al. [1] which emphasizes the importance of Kounis syndrome (KS), Takotsubo syndrome and their copresence in ATAK syndrome among cardiovascular manifestations of anaphylaxis. These are peculiar syndromes with yet uncompleted ascertained epidemiology (at least for KS) which may occur during anaphylaxis, complicate its course, and require special monitoring and management (namely exclusive intramuscular administration of adrenaline in a closely supervised setting for KS) [2,3].


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