Peanut Allergy

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Abstract
A 19-year-old woman is brought to the emergency room because of the acute onset of dyspnea, wheezing, vomiting, and generalized flushing. She has well-controlled asthma as well as a history of atopic dermatitis as an infant and urticaria after ingesting peanut butter at the age of five years. According to friends she ate a chocolate-chip cookie from a vending machine just before her symptoms developed. The ingredients listed on the cookie wrapper do not include peanuts. Nevertheless, how should this patient's condition be treated?

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