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Occupational anaphylaxis-Data from the anaphylaxis registry.

Margitta Worm1, Veronika Höfer1, Sabine Dölle-Bierke1

  • 1Division of Allergy and Immunology, Department of Dermatology, Venereology and Allergology, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.

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Summary

Occupational anaphylaxis is often caused by insect venom, affecting younger individuals compared to non-occupational cases. Foods and drugs are less common triggers, with latex-induced reactions being rare.

Keywords:
drugsfood allergylatexoccupational anaphylaxisvenom

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Area of Science:

  • Allergy and Immunology
  • Occupational Health
  • Epidemiology

Background:

  • Limited epidemiologic data exists on occupational anaphylaxis.
  • There is a need for increased knowledge regarding work-related anaphylactic episodes.

Purpose of the Study:

  • To identify and analyze cases of occupational anaphylaxis.
  • To investigate the causes, demographics, clinical severity, and management of work-related anaphylaxis.

Main Methods:

  • Utilized data from the Anaphylaxis Registry.
  • Identified cases linked to occupational exposure.
  • Analyzed elicitors, patient demographics, reaction severity, and management strategies.

Main Results:

  • 225 (3.8%) of 5851 registered cases were occupationally related anaphylaxis.
  • Insects (82.7%), food (12.0%), and drugs (3.6%) were the primary occupational allergens.
  • Occupational insect venom anaphylaxis occurred in younger individuals (46 vs. 53 years) with a higher incidence of bee stings and venom immunotherapy.

Conclusions:

  • Venom allergy significantly impacts work-related anaphylaxis.
  • Foods and drugs are less frequent triggers, and latex-induced occupational anaphylaxis is uncommon.
  • Further research is required to identify risk factors for occupational anaphylaxis.