Symptoms similar to anaphylaxis, such as flushing, low blood pressure, abdominal cramping, and other gastrointestinal issues, have infrequently been reported in patients who took an angiotensin-converting enzyme (ACE) inhibitor within 24 to 30 h prior to undergoing plasmapheresis and were given albumin for fluid replacement [38]. Here, ALB is linked to anaphylaxis.