Analysis of clinical сases of anaphylaxis in children
R.F. KHAKIMOVA1, G.M. ZAYNETDINOVA2, N.SH. KURMAEVA1, О.А. SEREBRYAKOVA1
1Kazan State Medical University, Kazan
2Children’s Republican Clinical Hospital, Kazan
Contact details:
Khakimova R.F. — MD, Professor of the Department of Clinical Immunology and Allergology
Address: 49 Butlerov St., Kazan, Russian Federation, 420012, tel.: +7 (843) 231-20-87, e-mail: Khakimova@yandex.ru
Anaphylaxis is an acute life-threatening systemic reaction. The relevance of anaphylaxis in children, especially babies, is related to various clinical symptoms involving multiple organs and systems, particularly gastrointestinal system.
The purpose is a comparative analysis of 8 anaphylaxis cases in children.
Results. The clinical manifestations of anaphylaxis could be observed among patients in different age groups. Food allergy is the major elicitor of anaphylaxis in children. Anaphylaxis due to the cross-reactivity between pollen and food allergens is more frequent in children aged 6 to 9 years, whereas drugs and immunobiological preparations (vaccines) are the most leading triggers in adolescents. However, anaphylaxis in children is often under-diagnosed nowadays.
Key words: anaphylaxis, children, allergens, sensitization.
REFERENCES
- Klinicheskie rekomendatsii. Anafilakticheskiy shok / Rossiyskaya assotsiatsiya allergologov i klinicheskikh immunologov. Obshcherossiyskaya obshchestvennaya organizatsiya «Federatsiya anesteziologov i reanimatologov» [Clinical guidelines. Anaphylactic shock / Russian Association of Allergists and Clinical Immunologists. All-Russian public organization «Federation of Anesthesiologists and Resuscitators»], 2020, available at: https://raaci.ru/dat/pdf/allergic_shock_2020 (accessed on:11.10.2021).
- Poowuttikul P., Seth D. Anaphylaxis in Children and Adolescents. Pediatr Clin North Am, 2019, vol. 66 (5), pp. 995-1005. DOI: 10.1016/j.pcl.2019.06.005
- Panesar S., Javad S., de Silva D., et al. The epidemiology of anaphylaxis in Europe: a systematic review. Allergy, 2013, vol. 68 (11), pp. 1353–1361. DOI: 10.1111/all.12272
- Anagnostou K. Anaphylaxis in Children: Epidemiology, Risk Factors and Management. Curr Pediatr Rev, 2018, vol. 14 (3), pp. 180-186. DOI: 10.2174/1573396314666180507115115
- Wang Y., Allen K.J., Suaini N.H.A. et al. The global incidence and prevalence of anaphylaxis in children in the general population: A systematic review. Allergy, 2019, vol. 74 (6), pp. 1063-1080. DOI: 10.1111/all.13732
- Mullins R.J., Dear K.B., Tang M.L. Time trends in Australian hospital anaphylaxis admissions in 1998-1999 to 2011-2012. J Allergy Clin Immunol, 2015, vol. 136 (2), pp. 367–375. DOI: 10.1016/j.jaci.2015.05.009
- Pouessel G., Jean-Bart C., Deschildre A. et al. Food-induced anaphylaxis in infancy compared to preschool age: a retrospective analysis. Clin Exp Allergy, 2020, vol. 50, pp. 74-81.
- Tanno L.K., Demoly P. Anaphylaxis in children. Pediatr Allergy Immunol, 2020, vol. 31, suppl 26, pp. 8-10. DOI: 10.1111/pai.13336
- Muraro A., Werfel T., Hoffmann-Sommergruber K. et al. EAACI food allergy and anaphylaxis guidelines: diagnosis and management of food allergy. Allergy, 2014, Aug, vol. 69 (8), pp. 1008–105. DOI: 10.1111/all.12429. Epub 2014 Jun 9. PMID: 24909706.
- Muraro A., Halken S., Arshad S.H. et al. EAACI food allergy and anaphylaxis guidelines. Primary prevention of food allergy. Allergy, 2014, vol. 69, pp. 590-601. DOI: 10.1111/all.12398
- Cardona V., Ansotegui I.J., Ebisawa M. et al. World allergy organization anaphylaxis guidance 2020. World Allergy Organ J, 2020, vol. 13 (10), p. 100472. Published 2020 Oct 30. DOI: 10.1016/j.waojou.2020.100472
- Pampura A.N., Esakova N.V. Anaphylaxis in children: problems and solutions. Ros. vestn. perinatol. i pediatr, 2020, no. 65 (3), pp. 5–10 (in Russ.). DOI: 10.21508/1027-4065-2020-65-3-5-10
- McNeil M.M., Weintraub E.S., Duffy J. et al. Risk of anaphylaxis after vaccination in children and adults. J Allergy Clin Immunol, 2016, vol. 137 (3), pp. 868–878. DOI: 10.1016/j.jaci.2015.07.048
- Ruban A.P., Pampura A.N. Anaphylaxis and vaccination: risks and realities. Ros. vestn. perinatol. i pediatr, 2018, no. 63 (4), pp. 15–22 (in Russ.). DOI: 10.21508/1027-4065-2018-63-4-15-22


