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

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...

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Autores principales: Chung, Bo Young, Um, Ji Young, Kim, Jin Cheol, Kang, Seok Young, Jung, Min Je, Kim, Hye One, Park, Chun Wook
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7764798/
https://www.ncbi.nlm.nih.gov/pubmed/33327374
http://dx.doi.org/10.3390/medicina56120695
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author Chung, Bo Young
Um, Ji Young
Kim, Jin Cheol
Kang, Seok Young
Jung, Min Je
Kim, Hye One
Park, Chun Wook
author_facet Chung, Bo Young
Um, Ji Young
Kim, Jin Cheol
Kang, Seok Young
Jung, Min Je
Kim, Hye One
Park, Chun Wook
author_sort Chung, Bo Young
collection PubMed
description 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.
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spelling pubmed-77647982020-12-27 Anaphylaxis: Five Years’ Experience in the Emergency Rooms of Five University Hospitals in Korea Chung, Bo Young Um, Ji Young Kim, Jin Cheol Kang, Seok Young Jung, Min Je Kim, Hye One Park, Chun Wook Medicina (Kaunas) Article 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. MDPI 2020-12-14 /pmc/articles/PMC7764798/ /pubmed/33327374 http://dx.doi.org/10.3390/medicina56120695 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Chung, Bo Young
Um, Ji Young
Kim, Jin Cheol
Kang, Seok Young
Jung, Min Je
Kim, Hye One
Park, Chun Wook
Anaphylaxis: Five Years’ Experience in the Emergency Rooms of Five University Hospitals in Korea
title Anaphylaxis: Five Years’ Experience in the Emergency Rooms of Five University Hospitals in Korea
title_full Anaphylaxis: Five Years’ Experience in the Emergency Rooms of Five University Hospitals in Korea
title_fullStr Anaphylaxis: Five Years’ Experience in the Emergency Rooms of Five University Hospitals in Korea
title_full_unstemmed Anaphylaxis: Five Years’ Experience in the Emergency Rooms of Five University Hospitals in Korea
title_short Anaphylaxis: Five Years’ Experience in the Emergency Rooms of Five University Hospitals in Korea
title_sort anaphylaxis: five years’ experience in the emergency rooms of five university hospitals in korea
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7764798/
https://www.ncbi.nlm.nih.gov/pubmed/33327374
http://dx.doi.org/10.3390/medicina56120695
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