Hymenoptera venom anaphylaxis in adult Korean: a multicenter retrospective case study
Allergy, Asthma & Respiratory Disease
;
: 344-351, 2014.
Article
in Korean
| WPRIM
| ID: wpr-197351
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.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Venoms
/
Bee Venoms
/
Bees
/
Bites and Stings
/
Epinephrine
/
Medical Records
/
Retrospective Studies
/
Risk Factors
/
Diagnosis
/
Apitherapy
Type of study:
Diagnostic study
/
Etiology study
/
Observational study
/
Prognostic study
/
Risk factors
Limits:
Adult
/
Humans
Country/Region as subject:
Asia
Language:
Korean
Journal:
Allergy, Asthma & Respiratory Disease
Year:
2014
Type:
Article
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