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Hymenoptera venom anaphylaxis in adult Korean: a multicenter retrospective case study

Other Title
한국 성인의 벌독으로 인한 아나필락시스: 국내 다기관 후향적 연구
Authors
이, 수경 | 예, 영민  | 박, 해심  | 장, 광천 | 지, 영구 | 박, 혜경 | 고, 영일 | 김, 주희 | 김, 철우 | 허, 규영 | 김, 미경 | 김, 태범 | 최, 길순 | 김, 상헌 | 손, 성욱 | 대한천식알레르기학회 두드러기/혈관부종/아나필락시스 워크그룹
Citation
Allergy asthma & respiratory disease, 2(5). : 344-351, 2014
Journal Title
Allergy asthma & respiratory disease
ISSN
2288-04022288-0410
Abstract
Purpose: We investigated the causes, clinical features, and risk factors of bee venom anaphylaxis in Korea.

Methods: The medical records of the diagnosis of anaphylaxis during a 5-year period from the 14 hospitals in Korea have been retrospectively reviewed. Cases of bee venom anaphylaxis were identified among anaphylaxis patients, and subgroup analyses were done.

Results: A total of 291 patients were included. The common cause of bee species was vespid (24.6%) in bee venom anaphylaxis, followed by honeybee and vespid (8.8%), apitherapy (7.7%), and honeybee (2.0%), although the causative bee species were commonly unknown (56.9%). The severity of anaphylaxis was mostly mild-moderate (72.9%), and common clinical manifestations included cutaneous (80.6%), cardiovascular (39.2%), respiratory (38.1%), and gastrointestinal (13.1%) symptoms. Portable epinephrine auto-injectors were prescribed to 12.1% of the patients. Subject positive to both vespid and honeybee showed more severe symptoms and higher epinephrine use (P<0.05). The severity was significantly associated with older age, but not with gender, underlying allergic disease, or family history. Apitherapy-induced anaphylaxis showed a higher rate of hospitalization and epinephrine use than bee sting anaphylaxis (P<0.05).

Conclusion: Vespid is the most common cause of bee venom anaphylaxis in Korea. It is suggested that positivity to honeybee and vespid may be associated with more severe symptoms.
Keywords
DOI
10.4168/aard.2014.2.5.344
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Allergy
Ajou Authors
박, 해심  |  예, 영민
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