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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...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2020
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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. |
format | Online Article Text |
id | pubmed-7764798 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
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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