Publication: Anaphylaxis – Lessons learnt when East meets West
Issued Date
2019-11-01
Resource Type
ISSN
13993038
09056157
09056157
Other identifier(s)
2-s2.0-85074022343
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Mahidol University
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SCOPUS
Bibliographic Citation
Pediatric Allergy and Immunology. Vol.30, No.7 (2019), 681-688
Suggested Citation
Elizabeth H. Tham, Agnes S.Y. Leung, Punchama Pacharn, Sooyoung Lee, Motohiro Ebisawa, Bee Wah Lee, Gary W.K. Wong, Ting Fan Leung, Sakura Sato, Lynette Pei Chi Shek, Kangmo Ahn, Pakit Vichyanond, Pantipa Chatchatee, Narissara Suratannon Anaphylaxis – Lessons learnt when East meets West. Pediatric Allergy and Immunology. Vol.30, No.7 (2019), 681-688. doi:10.1111/pai.13098 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/51000
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Title
Anaphylaxis – Lessons learnt when East meets West
Abstract
© 2019 EAACI and John Wiley and Sons A/S. Published by John Wiley and Sons Ltd. The rapidly increasing prevalence of allergic disorders over the past 2 decades highlights the need to understand the epidemiology of anaphylaxis. In Europe, the United States, and Australia, the incidence of anaphylaxis is estimated to be between 60 and 950 cases per 100 000 population, with a lifetime prevalence of anaphylaxis of 0.05%-2%. The incidence appears to be increasing over time. Although the existing Asian literature is heterogeneous and limited by under-reporting, it also suggests a similar increasing trend in anaphylaxis incidence in Asia. Anaphylaxis triggers in Asia, such as the predominance of shellfish and wheat in older children and adolescents, differ from those seen in Western populations. Triggers unique to Asia such as traditional Chinese medications, galacto-oligosaccharides, and food delicacies have also been reported. Low usage of adrenaline as first-line treatment of anaphylaxis is evident across all countries and is particularly concerning. There is a need to establish prospective, standardized protocols for anaphylaxis data collection and reporting, to enhance the collective understanding of anaphylaxis and its burden, gaps in management and to identify areas for future research and intervention in each region. Understanding of the underlying reasons explaining the difference between East and West will facilitate future primary preventive strategies.