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The cause of anaphylaxis in emergency visits in the past 10 years in all age group Sakie Imai 1 , Atsushi Isozaki 1 , Mayumi Yamazaki 2 , Eriko Ando 2 , Aki Tanaka 2 , Junji Endo 1 , Masashi Furuie 1 , Yoko Hashiba 1 , Yoichi Nakamura 1 pp.1536-1541
Published Date 2016/10/15
DOI https://doi.org/10.20837/3201611076
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 Background;Although anaphylaxis is a medical emergency, only few epidemiological surveys in all age have been reported in Japan.  Object;We clarified the cause of patients with anaphylaxis of all age who visited the emergency department in our hospital in the past 10 years.  Methods;We surveyed the medical records of patients who visited the emergency department for anaphylaxis for April 2005 to March 2015.  Results;Data of 387 patients with anaphylaxis(176 women and 211 men)were examined in this study. They were 218(56.3%)children and 169(43.7%)adults(15 years or older). The most popular cause of anaphylaxis was food(297 cases, 76.7%), followed by drug(41 cases, 10.6%)and bee(23 cases, 5.9%). Unknown causes were 18 cases(4.7%). Among food allergen, egg was the most frequent cause(50 cases, 16.8%), followed by milk(39 cases, 13.1%)and wheat(33 cases, 11.1%). In drugs, NSAIDs were most popular(18 cases, 43.9%), and antimicrobials were second(12 cases, 29.3%). While many of the children experienced anaphylaxis due to food, various substances such as drugs, and bees were found as causes of anaphylaxis in adults.  Conclusion;It is necessary not only to prepare the emergency system for anaphylaxis, but also determine the allergenic substance correctly.



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電子版ISSN 印刷版ISSN 1344-6932 医薬ジャーナル社

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