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过敏反应的流行病学

Epidemiology of anaphylaxis.

作者信息

Worm Margitta

机构信息

Allergie-Centrum-Charité, Klinik für Dermatologie und Allergologie, Berlin, Germany.

出版信息

Chem Immunol Allergy. 2010;95:12-21. doi: 10.1159/000315935. Epub 2010 Jun 1.

Abstract

Anaphylaxis is the most severe manifestation of a mast cell-dependent reaction. It is a rare disease and most recent data indicates a continuous increase of affected individuals. Limitations regarding the incidence of anaphylaxis are the lack of a unique definition and the fact that patients are often seen by different medical specialties (e.g. emergency doctors, allergists or other clinicians). However, based on the published data it can be summarized that the most frequent causes of anaphylaxis are food, venom and drugs, and their frequency as an elicitator depend on age. Risk factors for anaphylaxis include age, the presence of other allergic or cardiovascular comorbidities - and gender. More data throughout different countries are needed to monitor the elicitating factors and identify patients at risk.

摘要

过敏反应是肥大细胞依赖性反应的最严重表现形式。它是一种罕见疾病,最新数据表明受影响个体数量持续增加。过敏反应发病率方面的局限性在于缺乏统一的定义,以及患者常由不同医学专科(如急诊科医生、过敏症专科医生或其他临床医生)诊治这一事实。然而,根据已发表的数据可以总结出,过敏反应最常见的原因是食物、毒液和药物,其作为诱发因素的频率取决于年龄。过敏反应的风险因素包括年龄、是否存在其他过敏或心血管合并症以及性别。需要来自不同国家的更多数据来监测诱发因素并识别高危患者。

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