Risk Grup in Anaphylaxis: Infant Anaphylaxis

Authors

  • Semiha Bahçeci Erdem Department of Pediatric Allergy and Immunology, Dr. Behçet Uz Children’s Hospital, İzmir
  • Sait Karaman Department of Pediatric Allergy and Immunology, Dr. Behçet Uz Children’s Hospital, İzmir
  • Hikmet Tekin Nacaroğlu Department of Pediatric Allergy and Immunology, Dr. Behçet Uz Children’s Hospital, İzmir
  • Canan Şule Ünsal Karkıner Department of Pediatric Allergy and Immunology, Dr. Behçet Uz Children’s Hospital, İzmir
  • Esra Toprak Kanık Department of Pediatric Allergy and Immunology, Dr. Behçet Uz Children’s Hospital, İzmir
  • Tuğba Nalçabasmaz Department of Pediatric Allergy and Immunology, Dr. Behçet Uz Children’s Hospital, İzmir
  • Selçuk Yazıcı Department of Pediatrics, Balıkesir University, Health Education and Research Hospital, Balıkesir
  • Demet Can Department of Pediatrics, Balıkesir University, Health Education and Research Hospital, Balıkesir

Keywords:

Anaphylaxis, infant, food allergy, cow’s milk, egg

Abstract

Objective: The infantile group that is accepted to be at risk of anaphylaxis has a special importance since they are unable to express their complaints and also the signs and symptoms of anaphylaxis can be confused with common symptoms of infants such as drooling, vomiting, diarrhea and itching. However, early detection of the signs and symptoms of anaphylaxis is crucial for effective diagnosis and treatment. The aim of study was to draw attention to infants anaphylaxis.

Materials and Methods: All of the patients in the infant group (n=15) among a total of 35 anaphylaxis cases that we followed in the Pediatric Allergy Clinic of Dr. Behçet Uz Children’s Hospital between the years 2011-2015 were included in the study. Demographic and clinical features of the patients were evaluated.

Results: 9 of 15 (60%) patients involved in the study were male and 6 (40%) were female, and the average age of anaphylaxis was 8.13±6.83 (min 1-max 24) months. In 93% of cases (n=14) the trigger was food and in 7% of cases (n=1) the trigger was not determined. The most frequently responsible foods were respectively cow’s milk (67%) and egg (20%). In 7 patients (47%), there were respiratory system and skin manifestations, in 7 patients (47%) 3 system involvement and in 1 patient respiratory and gastrointestinal system involvement has been observed. In only 3 cases (20%) the blood pressure was measured and also epinephrine was administered to only 3 cases (20%) in the hospital. In only 3 of the patients (20%), an epinephrine injector was prescribed after anaphylaxis.

Conclusion: It was detected that the most common triggers are cow’s milk and egg, the subjective symptoms are frequently overlooked, an atopic nature is a risk factor and physicians’ rates of blood pressure measurement, epinephrine administration and EpiPen autoinjector prescription are low.

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Published

2016-05-15

How to Cite

1.
Bahçeci Erdem S, Karaman S, Nacaroğlu HT, Ünsal Karkıner C Şule, Toprak Kanık E, Nalçabasmaz T, Yazıcı S, Can D. Risk Grup in Anaphylaxis: Infant Anaphylaxis. AAI [Internet]. 2016 May 15 [cited 2021 Dec. 2];14(1):31-6. Available from: https://aai.org.tr/index.php/aai/article/view/58

Issue

Section

Research Articles