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A multicenter study on anaphylaxis caused by peanut, tree nuts, and seeds in children and adolescents

Authors
 K. Jeong  ;  S.-Y. Lee  ;  K. Ahn  ;  J. Kim  ;  H.-R. Lee  ;  D. I. Suh  ;  B.-Y. Pyun  ;  T. K. Min  ;  J.-W. Kwon  ;  K.-E. Kim  ;  K. W. Kim  ;  M. H. Sohn  ;  Y. H. Kim  ;  T. W. Song  ;  J. H. Kwon  ;  Y. H. Jeon  ;  H. Y. Kim  ;  J. H. Kim  ;  Y. M. Ahn  ;  S. Lee 
Citation
 Allergy, Vol.72 : 507-510, 2017 
Journal Title
 Allergy 
ISSN
 0105-4538 
Issue Date
2017
MeSH
Adolescent ; Allergens/immunology ; Anaphylaxis/epidemiology* ; Anaphylaxis/etiology* ; Child ; Child, Preschool ; Female ; Humans ; Immunoglobulin E/blood ; Immunoglobulin E/immunology ; Infant ; Male ; Nut and Peanut Hypersensitivity/epidemiology* ; Nut and Peanut Hypersensitivity/immunology ; Seeds/adverse effects*
Keywords
Korean children ; anaphylaxis ; peanut ; seeds ; tree nuts
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.
Full Text
http://onlinelibrary.wiley.com/doi/10.1111/all.13096/abstract
DOI
10.1111/all.13096
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Pediatrics (소아청소년과학교실) > 1. Journal Papers
Yonsei Authors
김경원(Kim, Kyung Won) ORCID logo https://orcid.org/0000-0003-4529-6135
김윤희(Kim, Yoon Hee) ORCID logo https://orcid.org/0000-0002-2149-8501
손명현(Sohn, Myung Hyun) ORCID logo https://orcid.org/0000-0002-2478-487X
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/154390
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