Common causes of emergency department visits for anaphylaxis in Korean community hospitals

Cho, Hyunseok; Kim, Dohyun; Choo, Youngkwang; Park, Jungseok; Choi, Jangwon; Jang, Dongwhan; Kim, Taekwon; Jeong, Jae Won; Kwon, Jae-Woo

doi:10.1097/md.0000000000014114

Cited by 13 publications

(14 citation statements)

References 28 publications

(37 reference statements)

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“…The incidence of anaphylaxis was higher in women than in men (p < 0.000), which is consistent with other reports for Europe [11,21]. However, this is contrary to the data from Korea where anaphylaxis developed in men more often, at 65% [24]. The annual incidence per population of the West Pomerania Province falls in the range reported in other European registers (0.0015-0.0079%) [11].…”

Section: Analysis Of Results and Discussionsupporting

confidence: 87%

“…The annual incidence per population of the West Pomerania Province falls in the range reported in other European registers (0.0015-0.0079%) [11]. However, in comparison to the data from Korea, the frequency of anaphylaxis in the group of patients reporting to Emergency Department was estimated at 0.01% [24].…”

Section: Analysis Of Results and Discussionmentioning

confidence: 54%

“…(e) In 15 patients (3.9%), we were unable to identify the cause of anaphylaxis, and therefore idiopathic anaphylaxis was diagnosed. It has been reported that idiopathic anaphylaxis accounts for 6.5% [13], 9.8% [24] 13.7% [42], 20% [7] and even 41% [53] of all anaphylaxis cases.…”

Section: Causes Of Anaphylaxismentioning

confidence: 99%

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Clinical Manifestations and Causes of Anaphylaxis. Analysis of 382 Cases from the Anaphylaxis Registry in West Pomerania Province in Poland

Poziomkowska-Gęsicka

Kurek

2020

IJERPH

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Anaphylaxis is most commonly defined as an acute, severe, potentially life-threatening systemic hypersensitivity reaction. Current expert consensus has defined anaphylaxis as a serious reaction that is rapid in onset and can be fatal, and is a severe, potentially life-threatening systemic hypersensitivity reaction that is still rarely diagnosed. For safety reasons, patients should visit an allergologist to identify potential causes of this reaction. There are no data from other health care centres in Poland presenting characteristics of anaphylactic reactions. Clinical manifestations of anaphylaxis should be analysed, because some patients (10–30%) with anaphylaxis can present without cutaneous findings. This lack of skin/mucosa involvement can lead to misdiagnosis or delayed diagnosis of anaphylaxis. Objectives—to gather epidemiological data on anaphylactic reactions, to identify clinical manifestations of anaphylaxis (organ systems involved), to present diagnostic methods useful for the identification of anaphylaxis triggers, and most importantly, to find causes of anaphylaxis. In this retrospective analysis, we used a questionnaire-based survey regarding patients visiting the Clinical Allergology Department, Pomeranian Medical University (PMU) in Szczecin, between 2006 and 2015. The registry comprised patients with grade II (Ring and Messmer classification) or higher anaphylaxis. Patients with grade I anaphylaxis (e.g., urticaria) were not included in the registry. The incidence of anaphylaxis was higher in women. Clinical manifestations included cutaneous and cardiovascular symptoms, but more than 20% of patients did not present with cutaneous symptoms, which may create difficulties for fast and correct diagnosis. Causes of anaphylaxis were identified and confirmed by means of detailed medical interview, skin tests (STs), and measurement of specific immunoglobulin E (sIgE) and tryptase levels. In the analysed group, the most common cause of anaphylaxis (allergic and nonallergic) was Hymenoptera stinging (wasp), drugs (nonsteroidal anti-inflammatory drugs, NSAIDs) and foods (peanuts, tree nuts, celery). The incidence of anaphylaxis is low, but because of its nature and potentially life-threatening consequences it requires a detailed approach. Comprehensive management of patients who have had anaphylaxis can be complex, so partnerships between allergy specialists, emergency medicine and primary care providers are necessary. Monitoring its range is very important to monitor changes in allergy development.

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Section: Analysis Of Results and Discussionsupporting

confidence: 87%

Section: Analysis Of Results and Discussionmentioning

confidence: 54%

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Clinical Manifestations and Causes of Anaphylaxis. Analysis of 382 Cases from the Anaphylaxis Registry in West Pomerania Province in Poland

Poziomkowska-Gęsicka

Kurek

2020

IJERPH

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“…These studies are reported in Fig 2 . 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 , 73 , 74 …”

Section: Resultsunclassified

Global patterns in anaphylaxis due to specific foods: A systematic review

Conrado

Patel

Turner

2021

Journal of Allergy and Clinical Immunology

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Background: There are increasing global data relating to prevalence of food allergy and food-induced anaphylaxis; however, this is often based on surrogate measures of sensitization rather than objective symptoms at food challenge. In terms of protecting food-allergic consumers from reactions, to our knowledge, there has been no global survey assessing geographic differences in the proportion of anaphylaxis triggered by specific foods. Objective: We sought to identify common triggers for foodinduced anaphylaxis and how these vary from country to country.Methods: Systematic review of relevant reports published between January 2010 and November 2020. Results were reported following PRISMA guidelines. Publications were screened and data extracted by 2 independent reviewers, and the risk of bias was assessed. Results: Sixty-five studies (encompassing 41 countries and all 6 regions as defined by the Food and Agriculture Organization of the United Nations) were included. Significant regional variations in the most common triggers of food anaphylaxis were seen; however, in general, there was good agreement between local legislative requirements

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“…In highly exposed populations such as beekeepers, forest rangers and gardeners, 6.9-26% experienced systemic reactions to stings [9][10][11][12] . Since anaphylactic reactions owing to stings of Hymenoptera can cause a rapid death 13 , there is a signi cant component of anxiety in susceptible individuals and they experience signi cant impact on quality of life. A quality of life questionnaire was administered to venom-allergic patients in Spain.…”

Section: Introductionmentioning

confidence: 99%

Bee Venom Allergy in Chinese Beekeepers and Patients Under Live Bee Apitherapy

Cui

et al. 2021

Preprint

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Background: Hymenoptera stings are one of the common causes of anaphylaxis. The prevalence of systemic allergic reactions seems to be higher in highly exposed populations such as beekeepers and individuals receiving live bee acupuncture (LBA). However, there are a very few of studies on venom allergy in these populations. We performed two observational studies to describe the characteristics and risk factors of venom allergy in beekeepers and the LBA population.Methods: A total of 99 beekeepers and 127 individuals receiving live bee acupuncture were interviewed. Skin prick tests were performed on subjects with suspected bee venom allergy.Results: The prevalence of bee venom allergy was 34.3% among beekeepers and 29.0% in the LBA population. Systemic reactions occurred in 11.3% of the LBA population, and 28.3% of beekeepers. For beekeepers with exposure to 2-4 stings per year and ≥5 stings per year, the risk for developing venom allergy increased to 6.745-fold (95% CI 2.139-21.266) and 42.297-fold (95% CI 7.060-253.399) respectively, compared to the ≤1 sting per year group. Conversely, in the LBA population, compared to frequency ≤2 LBA stings per week, the adjusted OR of venom allergy was 0.281 (95% CI 0.075-1.047) and 0.166 (95% CI 0.045-0.612) for frequency 3-6 LBA stings per week and ≥7 stings per week respectively. The knowledge of adrenaline and venom immunotherapy was limited in both beekeepers and traditional doctors.Conclusion: The frequency of stings with high risk for bee venom allergy was >4/year in beekeepers and <3/week in the LBA population. The education on anaphylaxis management should be strengthened.

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Common causes of emergency department visits for anaphylaxis in Korean community hospitals

Abstract: Supplemental Digital Content is available in the text

Cited by 13 publications

References 28 publications

Clinical Manifestations and Causes of Anaphylaxis. Analysis of 382 Cases from the Anaphylaxis Registry in West Pomerania Province in Poland

Clinical Manifestations and Causes of Anaphylaxis. Analysis of 382 Cases from the Anaphylaxis Registry in West Pomerania Province in Poland

Global patterns in anaphylaxis due to specific foods: A systematic review

Bee Venom Allergy in Chinese Beekeepers and Patients Under Live Bee Apitherapy

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