"Anaphylaxis is a severe and sudden allergic reaction when a person is exposed to an allergen. The most common allergens are eggs, peanuts, tree nuts (e.g. cashews), cow's milk, fish and shellfish, wheat, soy, certain insect stings and medications."
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FEATURE ARTICLE: Food-related anaphylaxis is on the
rise
Allergic conditions are on the rise in westernised
countries and recent investigations have found that
hospitalisations for anaphylaxis (a severe allergic
reaction often involving more than one body system),
urticaria (hives), and angioedema (allergic swelling of the
face, lips and tongue) have been increasing since
1990.
In a study published this week in the Journal of Allergy
and Clinical Immunology, Leanne Poulos and others from the
Australian Centre for Asthma Monitoring (ACAM), a
collaborating unit of the Australian Institute of Health
and Welfare (AIHW) report the prevalence of these
conditions by looking at records of hospital admissions and
deaths in Australia from 1993-2005.
The researchers sought to characterise the cause and nature
of the conditions by examining data on patient age, sex and
the presence or absence of a food trigger for the
event.
They have found that, as in the UK and US, admissions
increased in all three conditions and especially for food-
related anaphylaxis in children under 5 years of
age.
Co-author Professor Guy Marks said, 'We examined recent
time trends in hospitalisations and deaths attributed to
anaphylaxis, angioedema and urticaria in Australia, and
found that over a 12-year period to 2004-05 there was a
continuous increase in the rate of hospital admissions for
each of these conditions, but that the nature and causative
factors differed between adults and children.'
Hospitalisations attributed to anaphylaxis more than
doubled over the study period with the most substantial
increase being for anaphylaxis triggered by food.
While there was an increase in all age groups the largest
increase was among young children, particularly
boys.
There was also an increase in admissions attributed to
angioedema among older people, which may be related to
adverse reactions to medications.
Among children, admissions for allergic conditions were
more common in boys than girls but among adults the gender
difference was reversed.
The authors could draw no direct conclusions about
underlying reasons for increased rates of hospital
admission for these conditions. The increase may reflect an
increase in the incidence of these conditions or an
increase in their severity, or a combination of these, over
the study period.
REMEMBER to protect your EpiPen® or AnaPen by using an
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