2107 Anaphylaxis in Korean Children, 2009-2013 : Triggers of Anaphylaxis By Age Groups

Thursday, 15 October 2015
Hall D1 Foyer (Floor 3) (Coex Convention Center)

So-Yeon Lee, MD , Department of Pediatrics, Hallym University Sacred Heart Hospital, Anyang, South Korea

Kangmo Ahn, MD, PhD , Department of Pediatrics, Samsung Medical Center, Seoul, South Korea

Jihyun Kim, MD , Department of Pediatrics, Samsung Medical Center, Seoul, South Korea

Gwang-Cheon Jang, MD, PhD , Pediatrics, NHIS Ilsan Hospital, Ilsan, South Korea

Taek-Ki Min, MD, PhD , Pediatrics, Soonchunhyang University Hospital, Seoul, South Korea

Hyeon-Jong Yang, MD, PhD , Pediatrics, Soonchunhyang University College of Medicine, Seoul, South Korea

Bok-Yang Pyun, MD, PhD. , Pediatrics, Soonchunhyang University, Seoul, South Korea

Ji-Won Kwon, MD , Seoul National University Bundang Hospital, Seongnam, South Korea

Myung Hyun Sohn, MD, PhD , Department of Pediatrics and Institute of Allergy, Yonsei University College of Medicine, Seoul, South Korea

Kyu-Earn Kim, MD, PhD , Department of Pediatrics and Institute of Allergy, Yonsei University College of Medicine, Seoul, South Korea

Jinho Yu, MD, PhD , Asan Medical Center Seoul Korea, Seoul, South Korea

Soo-Jong Hong, MD, PhD , Research Center for Standardization of Allergic Diseases, University of Ulsan College of Medicine, Seoul, South Korea

Jung-Hyun Kwon , Ewha Womans University Hospital, Seoul, South Korea

Sung-Won Kim , Pusan Saint Maria Hospital, Pusan, South Korea

Tae-Won Song, MD , Ilsan Paik Hospital, Koyang, South Korea

Woo Kyung Kim , Seoul Paik Hospital, Seoul, South Korea

Hyung Young Kim, MD , Department of Pediatrics, Pusan National University Yangsan Hospital, Yangsan, South Korea

Hye-Young Kim , Department of Pediatrics, Medical Research Institute of Pusan National University Hospital, Busan, South Korea

Youhoon Jeon, MD, PhD , Department of Pediatrics, Dongtan Sacred Heart Hospital, College of Medicine, Hallym University, Hwaseong, South Korea

Yong Ju Lee, MD , Hallym Sacred Heart Kangnam Hospital, Seoul, South Korea

Hae Ran Lee, MD, PhD , Pediatrics, Hallym University Medical Center, Anynag, South Korea

Youngmin Ahn , Eulji University Hospital, Seoul, South Korea

Hye-Yung Yum, MD, PhD , Department of Pediatrics, Seoul Medical Center, Seoul, South Korea

Dongin Suh, MD , Department of Pediatrics, Seoul National University Hospital, Seoul, South Korea

Hyun Hee Kim, MD , The Catholic University of Korea, Seoul, South Korea

Jin Tack Kim, MD , The Catholic University of Korea, Seoul, South Korea

Jeong Hee Kim, MD, PhD , Department of Pediatrics, Inha University Hospital, Incheon, Seoul, South Korea

Kyung Won Kim, MD, PhD , Department of Pediatrics and Institute of Allergy, Yonsei University College of Medicine, Seoul, South Korea

Yong Mean Park, MD, PhD , Dept. of Pediatrics, Konkuk University School of Medicine, Seoul, South Korea

Sooyoung Lee, MD, PhD , Department of Pediatrics, Ajou University School of Medicine, Suwon, South Korea

Background : Although anaphylaxis is recognized as an important life-threatening condition, data are limited regarding its characteristics in the Korean children

Objective : We sought to estimate the triggers of anaphylaxis by age groups in Korean children

Methods : A retrospective medical record review was performed on children patients diagnosed with anaphylaxis between 2009 and 2013 in 23 tertiary hospitals of South Korea

Results : A total 991 cases (66% male, mean age 5.89±5,24) were reported, with 36.6% below 2 years of age. Food was the most common cause (74.7%), followed by drugs and radiocontrast media (10.7%), idiopathic (9.2%), and exercise (3.6%).  The most common offending food allergen was milk, followed by egg white, walnut, wheat, buckwheat, and peanut. Milk was the most common trigger of anaphylaxis in young children. In older children, seafood was the most common trigger of anaphylaxis. The rate of drugs in triggers of anaphylaxis was increased by age.

Conclusion : Food was the commonest trigger of anaphylaxis in Korean children. The common triggers of food induced anaphylaxis have changed over time in Korean children.