IGHE and anaphylaxis: As both type I and type III HSRs result in the degranulation of basophils and mast cells, true IgE-mediated type I allergy reactions, which are referred to as “anaphylaxis” even though they lack complement involvement, are often difficult to distinguish from IgE-independent complement-activation related pseudoallergy (CARPA) reactions, also known as anaphylactoid or pseudoallergy, which do rely on complement anaphylatoxins C3a and C5a [42,44,45,46].