Article ID Journal Published Year Pages File Type
8742933 Revue Française d'Allergologie 2018 23 Pages PDF
Abstract
Most interesting findings are as follows: clinical symptoms of anaphylaxis are not similar in older children (cardiovascular) and younger ones (gastro-intestinal and respiratory) in whom sudden occurrence of such symptoms should evoke anaphylaxis; first cases of anaphylaxis to exotic foods (crocodile, natto, etc.) have been published and will probably increase during near future; prolonged provocation tests should precede skin and in vitro tests in children reporting non-immediate and non-severe reactions to beta-lactams; allergic hypersensitivity to non-steroidal anti-inflammatory drugs is probably more frequent in children than in adults, in whom most reactions are non-allergic; local reactions to vaccines are relatively frequent and reccur frequently, but are benign-moderately severe. In contrast, generalized reactions are rare and relapses are infrequent, except for immediate anaphylactic reactions; hemagglutinins of influenza viruses (influenza vaccines) and toxoids in conjugated vaccines (pneumococcal) may induce anaphylactic reactions; mast cell diseases may be a risk of vaccine-induced anaphylaxis; as well as mosquito « allergy », hymenoptera venom allergy resolve spontaneously in children reporting mild to moderately severe generalized reactions to hymenoptera stings; in children reporting severe reactions to hymenoptera stings, specific immunotherapy is efficient, but efficiency decreases with age and patients may have anaphylaxis when restung several years after the end of immunotherapy.
Related Topics
Health Sciences Medicine and Dentistry Immunology, Allergology and Rheumatology
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