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- Title
A multicenter study on anaphylaxis caused by peanut, tree nuts, and seeds in children and adolescents.
- Authors
Jeong, K.; Lee, S.‐Y.; Ahn, K.; Kim, J.; Lee, H.‐R.; Suh, D. I.; Pyun, B.‐Y.; Min, T. K.; Kwon, J.‐W.; Kim, K.‐E.; Kim, K. W.; Sohn, M. H.; Kim, Y. H.; Song, T. W.; Kwon, J. H.; Jeon, Y. H.; Kim, H. Y.; Kim, J. H.; Ahn, Y. M.; Lee, S.
- Abstract
Peanut ( PN) and tree nuts ( TNs) are common causes of anaphylaxis in Western countries, but no information is available in Korea. To feature clinical characteristics of anaphylaxis caused by PN, TNs, and seeds, a retrospective medical record review was performed in 14 university hospitals in Korea (2009-2013). One hundred and twenty-six cases were identified, with the mean age of 4.9 years. PN, walnut ( WN), and pine nut accounted for 32.5%, 41.3%, and 7.1%, respectively. The median values of specific IgE ( sIgE) to PN, WN, and pine nut were 10.50, 8.74, and 4.61 kUA/l, respectively. Among 50 cases managed in the emergency department, 52.0% were treated with epinephrine, 66.0% with steroid, 94.0% with antihistamines, 36.0% with oxygen, and 48.0% with bronchodilator. In conclusion, WN, PN, and pine nut were the three most common triggers of anaphylaxis in Korean children, and anaphylaxis could occur at remarkably low levels of sIgE.
- Subjects
ALLERGY in children; ANAPHYLAXIS; ANTIHISTAMINES; PEANUT allergy; DISEASES in teenagers; DIAGNOSIS; ALLERGY treatment; THERAPEUTICS
- Publication
Allergy, 2017, Vol 72, Issue 3, p507
- ISSN
0105-4538
- Publication type
Article
- DOI
10.1111/all.13096