A multicenter study on anaphylaxis caused by peanut,tree nuts,and seeds in children and adolescents |
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| 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 |
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| Affiliation: | 1. Department of Pediatrics, Ajou University School of Medicine, Suwon, Korea;2. Department of Pediatrics, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, Korea;3. Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea;4. Department of Pediatrics, Seoul National University Hospital, Seoul, Korea;5. Department of Pediatrics, Soonchunhyang University Hospital, Seoul, Korea;6. Department of Pediatrics, Seoul National University Bundang Hospital, Seongnam, Korea;7. Department of Pediatrics, Severance Hospital, Institute of Allergy, Yonsei University College of Medicine, Seoul, Korea;8. Department of Pediatrics, Inje University Ilsan Paik Hospital, Goyang, Korea;9. Department of Pediatrics, Korea University College of Medicine, Ansan, Korea;10. Department of Pediatrics, Dongtan Sacred Heart Hospital, Hallym University College of Medicine, Hwaseong, Korea;11. Department of Pediatrics, Pusan National University Children's Hospital, Yangsan, Korea;12. Department of Pediatrics, Inha University Hospital, Incheon, Korea;13. Department of Pediatrics, Eulji Hospital, Eulji University School of Medicine, Seoul, Korea |
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| 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. |
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| Keywords: | anaphylaxis Korean children peanut seeds tree nuts |
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