Comparison of Anaphylaxis and Angioedema with Oral Mucosal Involvement in a Single Pediatric Emergency Department / 이화의대지
The Ewha Medical Journal
;
: 14-21, 2015.
Artículo
en Coreano
| WPRIM
| ID: wpr-57302
ABSTRACT
OBJECTIVES:
We aimed to compare and distinguish the characteristics of anaphylaxis and angioedema, especially with oral mucosal involvement and treatment of patients who visited the Pediatric Emergency Department.METHODS:
We retrospectively analyzed patients under age 18-year-old who were diagnosed with anaphylaxis and angioedema with oral mucosal involvement and treated with epinephrine from May 2008 to May 2013 in a single Pediatric Emergency Department in Seoul, Korea. We evaluated their past history, possible triggering causes, symptoms, vital signs and treatment and discharge with education.RESULTS:
During the study period the total cases of anaphylaxis were 79 and angioedema with oral mucosal involvement were 218. The age of patients with anaphylaxis was significantly higher (6.6+/-4.9 years vs. 4.1+/-3.3 years). The heart rate relative to age was significantly higher in the anaphylaxis group (49.4% vs. 36.2%). After discharge from the Emergency Center, 3.8% of anaphylaxis patients were prescribed an epinephrine injection. Education to avoid the triggering factor was provided in 32.9% of anaphylaxis group and 17.4% in the angioedema group.CONCLUSION:
Besides blood pressure, we should pay attention to the heart rate in pediatric patients with severe allergic reactions. More active follow-up of anaphylaxis and angioedema with oral mucosal involvement is needed to educate parents and prescribe emergency medication.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Padres
/
Presión Sanguínea
/
Epinefrina
/
Estudios Retrospectivos
/
Educación
/
Urgencias Médicas
/
Servicio de Urgencia en Hospital
/
Signos Vitales
/
Seúl
/
Frecuencia Cardíaca
Tipo de estudio:
Estudio observacional
Límite:
Adolescente
/
Niño
/
Humanos
País/Región como asunto:
Asia
Idioma:
Coreano
Revista:
The Ewha Medical Journal
Año:
2015
Tipo del documento:
Artículo
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