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The most common reaction an owner will see is type I hypersensitivity. Signs may be mild moderate or severe. Mild reactions may be characterised by fever, loss of appetite and lethargy. Moderate reactions can manifest as urticaria which is seen as hives, or wheals in the skin, rapid facial swelling, and extreme itchiness. Urticaria can progress to anaphylaxis which is the most severe reaction. This can produce vomiting, diarrhoea, swelling of the larynx resulting in breathing difficulties, drop in blood pressure, seizures, collapse and possibly death. When anaphylaxis occurs, immediate veterinary care is necessary to support life.
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