Comparison of Anaphylaxis and Angioedema with Oral Mucosal Involvement in a Single Pediatric Emergency Department / 이화의대지
The Ewha Medical Journal
; : 14-21, 2015.
Article
in Korean
| WPRIM (Western Pacific)
| ID: wpr-57302
Responsible library:
WPRO
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.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Parents
/
Blood Pressure
/
Epinephrine
/
Retrospective Studies
/
Education
/
Emergencies
/
Emergency Service, Hospital
/
Vital Signs
/
Seoul
/
Heart Rate
Type of study:
Observational study
Limits:
Adolescent
/
Child
/
Humans
Country/Region as subject:
Asia
Language:
Korean
Journal:
The Ewha Medical Journal
Year:
2015
Document type:
Article