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KMID : 1035620140020050344
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Allergy Asthma & Respiratory Disease
2014 Volume.2 No. 5 p.344 ~ p.351
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Hymenoptera venom anaphylaxis in adult Korean: a multicenter retrospective case study
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이수경:Lee Su-Kyoung
예영민:Ye Young-Min/박해심:Park Hae-Sim/장광천:Jang Gwang-Cheon/지영구:Jee Young-Koo/박혜경:Park Hye-Kyung/고영일:Koh Young-Il/김주희:Kim Joo-Hee/김철우:Kim Cheol-Woo/허규영:Hur Gyu-Young/김미경:Kim Mi-Kyoung/김태범:Kim Tae-Bum/최길순:Choi Gil-Soon/김상헌:Kim Sang-Heon/손성욱:Sohn Seong-Wook
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Abstract
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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.
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KEYWORD
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Hymenoptera, Bee venoms, Anaphylaxis, Apitherapy
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