한국 성인의 벌독으로 인한 아나필락시스: 국내 다기관 후향적 연구open accessHymenoptera venom anaphylaxis in adult Korean: a multicenter retrospective case study
- Other Titles
- Hymenoptera venom anaphylaxis in adult Korean: a multicenter retrospective case study
- Authors
- 이수경; 예영민; 박해심; 장광천; 지영구; 박혜경; 고영일; 김주희; 김철우; 허규영; 김미경; 김태범; 최길순; 김상헌; 손성욱; 대한천식알레르기학회
- Issue Date
- Nov-2014
- Publisher
- 대한 소아알레르기 호흡기학회
- Keywords
- Hymenoptera; Bee venoms; Anaphylaxis; Apitherapy
- Citation
- Allergy Asthma & Respiratory Diseases, v.2, no.5, pp.344 - 351
- Indexed
- KCI
- Journal Title
- Allergy Asthma & Respiratory Diseases
- Volume
- 2
- Number
- 5
- Start Page
- 344
- End Page
- 351
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/158647
- DOI
- 10.4168/aard.2014.2.5.344
- ISSN
- 2288-0402
- 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.
- Files in This Item
-
Go to Link
- Appears in
Collections - 서울 의과대학 > 서울 내과학교실 > 1. Journal Articles
![qrcode](https://api.qrserver.com/v1/create-qr-code/?size=55x55&data=https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/158647)
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.