Gradual sensitisation in body leading to chronic inflammation within may trigger one fine moment anaphylaxis as many time misconceptions as fish bone stuck in throat or child aspirated food particle as peanut, coconut are there but actually  anaphylaxis causing severe laryngeal oedema (swelling0 compressing on airway blockage leading to asphyxia) and cardiac arrest as well other severe asthma attacks, obstructive sleep apnoea(OSA) leading to strokes as brain or cardiac attacks will be there.

Sensitisation can be assessed clinically with turbinate changes, nasopharyngeal or oropharyngeal changes as well skin prick painless, bloodless modified testing and de-sensitisation or allergy vaccine shots or immunotherapy can completely resolve the inflammation and stops the progress of disease preventing future complications.