On 7/22 - patient received 1st dose of synvisc in left knee.On 7/29 - patient received 2nd dose of synvisc.On 8/3 - patient called complaining of hives oj buttocks, face, behind ears and on thighs, and difficulty breathing.Pt was rxd with benadryl 25 mg 1-2 capsules.Q4-6h prn.Pt also had epi pen on hand if having more difficulty with breathing.On 8/5 - patient received 3rd dose of synvisc.On 8/10 - pt began having chills, welts and hives all over body, anxiety.She denies swelling of knee, red or hot to touch.She was rxd with allegra q12h with some relief.Assessment: urticaria secondary to synvisc injections.
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