has component respiratory distress diagnosis 2 1 1 1 1 1 respiratory distress—2 or more of the following: • tachypnoea • increased use of accessory respiratory muscles (sternocleidomastoid, intercostals, etc.) • recession • cyanosis • grunting Brighton diagnosis result generalized urticaria or generalized erythema finding generalized pruritus with skin rash finding capillary refill time > 3s finding tachypnoea finding increased use of accessory respiratory muscles finding recession finding cyanosis finding grunting finding respiratory distress sign finding hoarse voice finding diarrhoea finding mast cell tryptase elevation > upper normal limit finding gastrointestinal sign dry cough finding chest tightness finding erythema finding itchy eyes finding pruritus finding decreased level of consciousness finding difficulty breathing finding clinical finding