Recent update on the management of anaphylaxis

Anaphylaxis is a life-threatening systemic allergic reaction presenting various clinical manifestations. Its prevalence has increased in almost all age groups and both sexes. Food, venom, and drugs are major causes in both children and adults; a higher prevalence of food-induced anaphylaxis is noted...

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Main Authors: Quang Luu Quoc, Tra Cao Thi Bich, Jae-Hyuk Jang, Hae-Sim Park
Format: Article
Language:English
Published: The Korean Society of Emergency Medicine 2021-09-01
Series:Clinical and Experimental Emergency Medicine
Subjects:
Online Access:http://ceemjournal.org/upload/pdf/ceem-21-121.pdf
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author Quang Luu Quoc
Tra Cao Thi Bich
Jae-Hyuk Jang
Hae-Sim Park
author_facet Quang Luu Quoc
Tra Cao Thi Bich
Jae-Hyuk Jang
Hae-Sim Park
author_sort Quang Luu Quoc
collection DOAJ
description Anaphylaxis is a life-threatening systemic allergic reaction presenting various clinical manifestations. Its prevalence has increased in almost all age groups and both sexes. Food, venom, and drugs are major causes in both children and adults; a higher prevalence of food-induced anaphylaxis is noted in children, while a higher prevalence of drug-induced anaphylaxis is noted in adults. The pathogenic mechanism is mediated by immunologic and nonimmunologic mechanisms, where mast cells and basophils are key cells that release mediators. A diagnosis of anaphylaxis is mainly based on clinical symptoms and physical findings; however, an increased serum tryptase level is a useful biomarker. Epinephrine is the first-line drug to treat acute symptoms, and an epinephrine auto-injector should be prescribed for each patient. Antihistamines and systemic corticosteroids are used to relieve symptoms. This review updates current issues in the management of anaphylaxis as well as the new guidelines for proper diagnosis and treatment.
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spelling doaj.art-da8f1979348f461bb2b55c23dfe5af752023-02-23T07:05:38ZengThe Korean Society of Emergency MedicineClinical and Experimental Emergency Medicine2383-46252021-09-018316017210.15441/ceem.21.121343Recent update on the management of anaphylaxisQuang Luu Quoc0Tra Cao Thi Bich1Jae-Hyuk Jang2Hae-Sim Park3 Department of Allergy and Clinical Immunology, Ajou University School of Medicine, Suwon, Korea Department of Allergy and Clinical Immunology, Ajou University School of Medicine, Suwon, Korea Department of Allergy and Clinical Immunology, Ajou University School of Medicine, Suwon, Korea Department of Allergy and Clinical Immunology, Ajou University School of Medicine, Suwon, KoreaAnaphylaxis is a life-threatening systemic allergic reaction presenting various clinical manifestations. Its prevalence has increased in almost all age groups and both sexes. Food, venom, and drugs are major causes in both children and adults; a higher prevalence of food-induced anaphylaxis is noted in children, while a higher prevalence of drug-induced anaphylaxis is noted in adults. The pathogenic mechanism is mediated by immunologic and nonimmunologic mechanisms, where mast cells and basophils are key cells that release mediators. A diagnosis of anaphylaxis is mainly based on clinical symptoms and physical findings; however, an increased serum tryptase level is a useful biomarker. Epinephrine is the first-line drug to treat acute symptoms, and an epinephrine auto-injector should be prescribed for each patient. Antihistamines and systemic corticosteroids are used to relieve symptoms. This review updates current issues in the management of anaphylaxis as well as the new guidelines for proper diagnosis and treatment.http://ceemjournal.org/upload/pdf/ceem-21-121.pdfanaphylaxisbiomarkersdiagnosisepinephrinetherapeutics
spellingShingle Quang Luu Quoc
Tra Cao Thi Bich
Jae-Hyuk Jang
Hae-Sim Park
Recent update on the management of anaphylaxis
Clinical and Experimental Emergency Medicine
anaphylaxis
biomarkers
diagnosis
epinephrine
therapeutics
title Recent update on the management of anaphylaxis
title_full Recent update on the management of anaphylaxis
title_fullStr Recent update on the management of anaphylaxis
title_full_unstemmed Recent update on the management of anaphylaxis
title_short Recent update on the management of anaphylaxis
title_sort recent update on the management of anaphylaxis
topic anaphylaxis
biomarkers
diagnosis
epinephrine
therapeutics
url http://ceemjournal.org/upload/pdf/ceem-21-121.pdf
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AT tracaothibich recentupdateonthemanagementofanaphylaxis
AT jaehyukjang recentupdateonthemanagementofanaphylaxis
AT haesimpark recentupdateonthemanagementofanaphylaxis