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Anaphylaxis in adolescents
Pasquale Comberiati1,2, Joseph Spahn3, Diego G Peroni1
1Department of Clinical and Experimental Medicine, Section of Paediatrics, University of Pisa, Pisa, Italy.
Current Opinion in Allergy and Clinical Immunology
|July 19, 2019
Summary
Anaphylaxis hospitalizations are rising, especially in adolescents due to food triggers. This age group faces unique self-management challenges, increasing their risk for severe outcomes and fatalities from anaphylaxis.
Area of Science:
- Allergy and Immunology
- Adolescent Health
- Public Health
Background:
- Anaphylaxis hospitalizations have increased globally in the past two decades, with food and medication triggers being most common.
- Adolescents are disproportionately affected by food-induced anaphylaxis, facing higher risks of severe illness and death.
- Existing evidence on the specific vulnerabilities of adolescents to anaphylaxis is limited.
Purpose of the Study:
- To review current epidemiological data on anaphylaxis in adolescents.
- To identify common triggers and risk factors for anaphylaxis in this age group.
- To explore barriers and facilitators to effective anaphylaxis self-management in adolescents.
Main Methods:
- Systematic review of recent literature on adolescent anaphylaxis.
- Analysis of epidemiological trends and mortality data.
- Examination of self-management challenges and strategies in adolescents.
Main Results:
- Adolescent anaphylaxis burden appears to be increasing, with notable regional variations in fatal outcomes.
- Fatal anaphylaxis shows an age-related predisposition in adolescents and young adults, particularly with food triggers.
- Adolescence presents unique self-management difficulties due to developmental transitions, heightening anaphylaxis risks.
Conclusions:
- Adolescents represent a high-risk group for severe anaphylaxis outcomes, necessitating targeted interventions.
- Understanding and addressing self-management barriers are crucial for improving anaphylaxis care in adolescents.
- Further research is needed to elucidate the specific factors contributing to adolescent vulnerability to anaphylaxis.
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