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PEDIATRIC ANAPHYLAXIS IN EMERGENCY CARE: A DETAILED ANALYSIS OF DEMOGRAPHIC AND LABORATORY FINDINGS
Nilay Caliskan, Recep Okur, Alper Kacar, Deniz Ozceker
ili Etfal Hastanesi Tp Blteni - 2025;59(4):533-539
University of Health Sciences, Prof. Dr. Cemil Tacolu City Hospital, Department of Pediatric Allergy and Immunology

Anaphylaxis is a life-threatening reaction that requires immediate medical intervention, characterized by acute onset and involvement of various systems. This study aimed to evaluate the demographic, clinical, and laboratory findings of patients diagnosed with anaphylaxis in the pediatric emergency unit of a tertiary care facility. A total of 100 patients were diagnosed with anaphylaxis in our pediatric emergency department, including 39 girls and 61 boys. Of these patients, 3% were under 2 years of age, 25% were between 2-6 years, and 72% were over 6 years old. In 83% of the cases, anaphylaxis occurred at home, while 11% occurred during medication administration at a hospital. Triggers were identified in 81% of the patients, whereas 19% were diagnosed with idiopathic anaphylaxis. The most common triggers were medications. Food-related anaphylaxis was the second most common trigger, with cow's milk being the most frequent at 8%. The most commonly affected system was the skin and mucosa in 97% of cases. When examining the relationship between age groups and triggers, food allergies were most frequent in children under 2 years old (p<0.001). The average tryptase level measured during anaphylaxis was 5.27 ug/L (1.43-33.6), with idiopathic cases showing a significantly higher average of 9.15 ug/L (6.29-33.6) (p=0.005).

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