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Anaphylaxis: Five Years' Experience in the Emergency Rooms of Five University Hospitals in Korea.


ABSTRACT:

Background

Anaphylaxis is an allergic disease that requires special handling due to its potential fatality. Recent epidemiological data indicate that the incidence of anaphylaxis is rising. However, actual data on the prevalence or causes of anaphylaxis in Korea are limited.

Methods

The emergency room attendees diagnosed with anaphylaxis between 2011 and 2015 in five university hospitals were included. Medical records were reviewed retrospectively.

Results

During the 5 years, a total of 505 subjects were diagnosed with anaphylaxis. Respiratory presentations were more common in children than in adults, while adults presented more frequently with cardiovascular symptoms. Intraoral angioedema was more often observed in the countryside than in the city. Insect stings/bites were more common in the countryside than in the city. Drugs were much more common in adults than in children. In the countryside, the frequency of anaphylaxis was higher in summer and autumn than in spring and winter. The use of corticosteroids was less common in children than in adults, while children more frequently got treatment with inhaled beta 2 agonist.

Conclusions

The principal causes of anaphylaxis in Korean patients were food, drugs, and stings/bites. The cause, clinical features and management of anaphylaxis were significantly different depending on age and region. These real-world data on anaphylaxis could be helpful to deepen that understanding of this condition for physicians and patients.

SUBMITTER: Chung BY 

PROVIDER: S-EPMC7764798 | biostudies-literature | 2020 Dec

REPOSITORIES: biostudies-literature

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Publications

Anaphylaxis: Five Years' Experience in the Emergency Rooms of Five University Hospitals in Korea.

Chung Bo Young BY   Um Ji Young JY   Kim Jin Cheol JC   Kang Seok Young SY   Jung Min Je MJ   Kim Hye One HO   Park Chun Wook CW  

Medicina (Kaunas, Lithuania) 20201214 12


<h4>Background</h4>Anaphylaxis is an allergic disease that requires special handling due to its potential fatality. Recent epidemiological data indicate that the incidence of anaphylaxis is rising. However, actual data on the prevalence or causes of anaphylaxis in Korea are limited.<h4>Methods</h4>The emergency room attendees diagnosed with anaphylaxis between 2011 and 2015 in five university hospitals were included. Medical records were reviewed retrospectively.<h4>Results</h4>During the 5 year  ...[more]

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