Journal of Japanese Society for Emergency Medicine
Online ISSN : 2187-9001
Print ISSN : 1345-0581
ISSN-L : 1345-0581
ORIGINAL ARTICLES
The analysis of anaphylaxis diagnosed at Emergency and Critical Care Center in the metropolitan area
Tomoko KOBAYASHITomonobu ITOTaro MIURAHisashi KAWASHIMARyoji TSUBOIYukari  OKUBOShiro MISHIMA Jun ODA
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2020 Volume 23 Issue 4 Pages 525-529

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Abstract

Objective: We examined cases of anaphylaxis diagnosed at Emergency and Critical Care Center in Tokyo Medical University Hospital.  Methods: 192 cases were transported to our emergency medical center of our hospital between January 2011 and March 2017. Place of occurrence, severity, treatment and causative antigen were examined. Results: The number of anaphylaxis had increased year by year at 1.69% of the total number of patients. 58% of patients were occurring at outside. Severity was moderate in 76 cases 39%, severe cases were in 103 cases 54%. Food allergy accounted for 89.5%.  25 cases where causal antigens were determined in dermatology were with wheat as the most common causative antigen, followed by Anisakis allergy. Discussion: In this study, the initial cases occur frequently in anaphylactic patients. In order to prevent recurrence, it is important guidance and identification of the causative antigen. Cooperation with another department for anaphylaxis is important. Conclusion: Consider anaphylaxis trends in metropolitan areas, it was found that food allergies often.

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© 2020 Japanese Society for Emergency Medicine
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