Signs of anaphylactic shock include all of the following except

• A. Skin that is red and blistered
• B. Difficulty breathing
• C. Swelling of the lips or tongue
• D. Hives or widespread rash

Answer: (A)

Anaphylactic shock is a rapid, life-threatening allergic reaction that involves multiple body systems, especially the airway and circulation. It typically presents with swelling that can block the airway (such as swelling of the lips or tongue) and breathing difficulties from airway swelling or bronchospasm, along with a widespread skin reaction like hives or a generalized rash. Redness of the skin with blisters is not a typical feature of anaphylaxis; blistering points more to other severe skin conditions rather than the usual allergic reaction pattern. So the skin that is red and blistered stands out as not fitting anaphylactic shock. In suspected cases, act quickly with epinephrine and call emergency services.