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Published on: October 14, 2014
Common features of anaphylaxis in children
1Dr Behcet Uz Chidren Hospital, Department of Pediatric Allergy, Izmir, Turkey.
Insights
Childhood anaphylaxis is often linked to allergies. Venom immunotherapy (VIT) and food are common triggers, with respiratory symptoms being most frequent. Further research is needed on VIT-induced anaphylaxis.
Area of Science:
- Pediatric Allergy and Immunology
- Clinical Immunology
- Emergency Medicine
Background:
- Anaphylaxis in children presents unique challenges.
- Understanding triggers and clinical manifestations is crucial for effective management.
- Concomitant allergic diseases are common in pediatric anaphylaxis.
Purpose of the Study:
- To characterize anaphylaxis in a pediatric cohort.
- To identify common triggers, symptoms, and outcomes.
- To evaluate the role of specific triggers like venom immunotherapy.
Main Methods:
- Retrospective analysis of 44 pediatric anaphylaxis cases over 10 years.
- Data collected on patient demographics, allergic history, triggers, symptoms, and treatment.
- Statistical analysis to determine significant associations.
Main Results:
- Food (27.3%) and venom immunotherapy (VIT, 25%) were the most frequent triggers.
- Respiratory (95.5%) and dermatological (90.9%) symptoms predominated.
- Food-triggered anaphylaxis had a longer duration; one case of severe reaction to VIT required intensive care.
Conclusions:
- Venom immunotherapy (VIT) is a significant trigger for anaphylaxis in children.
- The high frequency of VIT-induced anaphylaxis warrants further investigation.
- Comprehensive management strategies are essential for pediatric anaphylaxis.
Objective:
We aimed to establish the characteristics of anaphylaxis in childhood.
Methods:
Forty-four patients who had experienced anaphylaxis in a period of 10 years (from 1999 to 2009), were included in the study. Parameters analysed were age, gender, concomitant allergic disease, trigger, setting, clinical symptoms, treatment, prognosis and prophylaxis.
Results:
The total numbers of anaphylaxis cases were 44 in a ten-year period. The ages of patients ranged from 3 to 14 years (11.50 ± 3.87 years) and the majority were male. 33 of the patients (75%) had a concomitant allergic disease. The trigger was determined in 93.2% of the cases, being most frequent: food (27.3%), and SIT (25%), followed by bee sting, medications and others. Respiratory (95.5%), dermatological (90.9%), cardiovascular (20.5%), neuropsychiatric (25%), and gastrointestinal (11.4%) symptoms were seen most frequently. For anaphylaxis triggered by food, the duration of anaphylactic episode was significantly longer (p<0.05). No biphasic reaction was observed during these attacks. Of our patients, only one developed respiratory failure and cardiac arrest due to SIT, and intensive care support was required.
Discussion:
As a trigger for anaphylaxis, the frequency of SIT is so high that it cannot be described by the study group including patients who were followed up in an outpatient allergy clinic.
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