Clinical features of adult and pediatric anaphylaxis in Taiwan.

Simple item page
dc.contributor.authorHsin, Yi-Chen
dc.contributor.authorHsin, Yi-Chin
dc.contributor.authorHuang, Jing-Long
dc.contributor.authorYeh, Kuo-Wei
dc.date.accessioned2012-01-12T08:50:58Z
dc.date.available2012-01-12T08:50:58Z
dc.date.issued2011-12
dc.description.abstractBackground: Most epidemiologic studies of anaphylaxis have been on Western populations, leaving the clinical and demographic pattern of this acute allergic condition in Asia unclear. Objective: To investigate the clinical characteristics of patients with anaphylaxis in Chang Gung Memorial Hospital, the largest medical center in Taiwan. Methods: We conducted a retrospective analysis of 201 patients who visited the emergency department or were admitted to the hospital for anaphylaxis from 2000 to 2010. We analyzed the causes, clinical presentation, and management, and also compared adult and pediatric cases. Results: The average patient age was 43.3 years. Mortality from anaphylaxis was 0.5% (1/201). The annual number of cases presenting with anaphylaxis increased throughout the decade we studied. Seven types of etiology were identified: medication (53%), contrast medium (24%), idiopathic condition (8%), food (5%), blood transfusion (4%), insect sting (3%), and others (3%). Skin and respiratory presentations are more common in children than in adults (skin presentation, 81% vs. 51%, p =0.002); respiratory presentation, 74% vs. 49%, p =0.011), and cardio-vascular presentation is more frequent in adults than in children (83% vs. 61%, p =0.006). Clinical presentations with angioedema, gastro-intestinal and neurological system involvement, and management were not significantly different between adults and children. Conclusions: We conclude that anaphylaxis in Taiwan appears to be increasing, just as in the West, but shows a different clinical picture; medication rather than food was the most common cause of anaphylaxis in our population. Moreover, food-induced anaphylaxis in children is not so prevalent in Taiwan.en_US
dc.identifier.citationHsin Yi-Chen, Hsin Yi-Chin, Huang Jing-Long, Yeh Kuo-Wei. Clinical features of adult and pediatric anaphylaxis in Taiwan. Asian Pacific Journal of Allergy and Immunology, 2011 Dec; 29(4): 307-312.en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/136430
dc.language.isoenen_US
dc.source.urihttps://apjai.digitaljournals.org/index.php/apjai/article/viewFile/370/782en_US
dc.subjectanaphylaxisen_US
dc.subjectepidemiologyen_US
dc.subjectetiologyen_US
dc.subjectTaiwanen_US
dc.subjectAsiaen_US
dc.subjectChineseen_US
dc.titleClinical features of adult and pediatric anaphylaxis in Taiwan.en_US
dc.typeArticleen_US
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
apjai2011v29n4p307.pdf
Size:
178.42 KB
Format:
Adobe Portable Document Format
Description:
Journal article
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.71 KB
Format:
Item-specific license agreed upon to submission
Description:
Download
Collections
Asian Pacific Journal of Allergy and Immunology