Table 1 Clinical and Demographic Patient Characteristics

Skin prick testing (Food Allergy)

2 months prior to death

Peanut: 12 mm

Tree nuts: negative

Skin prick testing (Environmental aeroallergens)

1.5 years prior to death

Positive to tree and grass pollens, cat, dog, molds

Pulmonary function testing

2 weeks prior to death

FEV₁ 3.65 L (82% predicted), FVC 4.70 L (91% predicted), FEV₁/FVC 0.78, and no significant post bronchodilator response^a

Total IgE

2 weeks prior to death

500 units/milliliter (normal range 0–400)

Tryptase

Serum sample-Emergency Department

47.0 µg/L

Medications

1. Budesonide/Formoterol 200/6 mcg 2 inhalations twice daily as maintenance, with additional inhalations for rescue, up to 8 inhalations maximum per day

2. Tiotropium (Spiriva Respimat) 2.5 mcg two inhalations once daily

3. Salbutamol 100 mcg MDI prn

4. Montelukast 10 mg daily

5. Rupatadine 10 mg daily prn