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한국 소아 아나필락시스의 연구 현황과 과제

The past, present, and future of research on anaphylaxis in Korean children

  • 이수영 (아주대학교 의과대학 아주대학교병원 소아청소년과)
  • Lee, Sooyoung (Department of Pediatrics, Ajou University Hospital, Ajou University School of Medicine)
  • 투고 : 2017.12.22
  • 심사 : 2018.02.15
  • 발행 : 2018.09.30

초록

Anaphylaxis is a serious, life-threatening hypersensitivity reaction that is rapid in onset and might cause death when not treated promptly. Recently, the prevalence of anaphylaxis has been increasing worldwide, especially in children, and food-induced anaphylaxis is rapidly increasing. With the establishment of the Korean Academy of Pediatric Allergy and Respiratory Disease in 1987, awareness of anaphylaxis has been heightened in Korea as well. Initially, it was considered a clinical form of food or drug hypersensitivity, but not a single disease entity. After the second symposium on anaphylaxis in 2006 and the World Allergy Organization guideline on anaphylaxis in 2011, research more focused on anaphylaxis is ongoing. The study of anaphylaxis in Korean children was initially restricted to case reports due to novel triggers. Thereafter, research on the age-specific prevalence of anaphylaxis was conducted using the national big data and more recently, a large-scale hospital-based multicenter study was conducted. Also, reliable data on food-induced anaphylaxis have been attained through a large-scale multicenter case study and a population-based epidemiological study on food allergy and currently, a prospective multicenter anaphylaxis registry has been launched funded by Korea Centers for Disease Control and Prevention. These series of studies have contributed to the international competitiveness in pediatric anaphylaxis research. However, there are still unmet needs such as diagnosis, severity, treatment or intervention of anaphylaxis, education for the prevention of recurrence, and establishment of policies for social safety. Further studies addressing these issues will contribute to improvement of quality of life and overcoming of the disease.

키워드

참고문헌

  1. Lee SY. Anaphylaxis: epidemiology and clinical significance. Pediatr Allergy Respir Dis 2012;22:215-8. https://doi.org/10.7581/pard.2012.22.3.215
  2. Sampson HA, Munoz-Furlong A, Campbell RL, Adkinson NF Jr, Bock SA, Branum A, et al. Second symposium on the definition and management of anaphylaxis: summary report--Second National Institute of Allergy and Infectious Disease/Food Allergy and Anaphylaxis Network symposium. J Allergy Clin Immunol 2006;117:391-7. https://doi.org/10.1016/j.jaci.2005.12.1303
  3. Lee S. A nation-wide survey on anaphylaxis in Korea and preliminaries for Korean surveillance system. Osong (Korea): Korea Center for Disease Control and Prevention, 2016.
  4. Yocum MW, Butterfield JH, Klein JS, Volcheck GW, Schroeder DR, Silverstein MD. Epidemiology of anaphylaxis in Olmsted County: a population-based study. J Allergy Clin Immunol 1999;104(2 Pt 1):452-6. https://doi.org/10.1016/S0091-6749(99)70392-1
  5. Bohlke K, Davis RL, DeStefano F, Marcy SM, Braun MM, Thompson RS, et al. Epidemiology of anaphylaxis among children and adolescents enrolled in a health maintenance organization. J Allergy Clin Immunol 2004;113: 536-42. https://doi.org/10.1016/j.jaci.2003.11.033
  6. Decker WW, Campbell RL, Manivannan V, Luke A, St Sauver JL, Weaver A, et al. The etiology and incidence of anaphylaxis in Rochester, Minnesota: a report from the Rochester Epidemiology Project. J Allergy Clin Immunol 2008;122:1161-5. https://doi.org/10.1016/j.jaci.2008.09.043
  7. Sorensen HT, Nielsen B, Ostergaard Nielsen J. Anaphylactic shock occurring outside hospitals. Allergy 1989;44:288-90. https://doi.org/10.1111/j.1398-9995.1989.tb01071.x
  8. Huang F, Chawla K, Jarvinen KM, Nowak-Wegrzyn A. Anaphylaxis in a New York City pediatric emergency department: triggers, treatments, and outcomes. J Allergy Clin Immunol 2012;129:162-8.e1-3. https://doi.org/10.1016/j.jaci.2011.09.018
  9. Gil SY, Baik SW, KAng SY. A case of anaphylaxis after ingestion of pup. Allergy (Korea) 1983;3:175-8.
  10. Simons FE, Ardusso LR, Bilo MB, El-Gamal YM, Ledford DK, Ring J, et al. World Allergy Organization anaphylaxis guidelines: summary. J Allergy Clin Immunol 2011;127:587-93.e1-22. https://doi.org/10.1016/j.jaci.2011.01.038
  11. Lee KY, Kim KE, Jeong BJ. Immediate type reaction of food allergy confirmed by open food challenge test: diagnostic value of history and skin test in food allergy. Pediatr Allergy Respir Dis 1997;7:173-86.
  12. Choi WS, Han SR, Kim TH, Cho GL, Han YS, Jung JA, et al. Anaphylaxis to curry powder in childhood. Pediatr Allergy Respir Dis (Korea) 2005; 2:170-3.
  13. Lee J, Koo NH, Kim EJ, Lee SY. A case of barley anaphylaxis due to infant's weaning food. Pediatr Allergy Respir Dis 2010;20:297-301.
  14. Kim HS, Lee HS, Yoo JS, Lee JY, Han Y, Kim J, et al. A case of severe chicken meat allergy diagnosed by oral food challenge. Pediatr Allergy Respir Dis 2011;21:234-7. https://doi.org/10.7581/pard.2011.21.3.234
  15. Pang SJ, No SJ, Kim DW, Lee SM, Lee EJ, Kim CH, et al. A case report of food-dependent exercise-induced anaphylaxis in a patient who was sensitive to pork. Pediatr Allergy Respir Dis 2012;22:116-21. https://doi.org/10.7581/pard.2012.22.1.116
  16. Choi JW, Lee JO, Choi J, Han Y, Kim J, Ahn K. Mixed plant extract-dependent exercise-induced anaphylaxis. Allergy Asthma Respir Dis 2015; 3:219-23. https://doi.org/10.4168/aard.2015.3.3.219
  17. Kim EJ, Yoon YR, Yeom JS, Kim JS, Seo JH, Lim JY, et al. Anaphylactic shock in a breast milk-fed infant due to skin contact with egg white. Korean J Pediatr Gastroenterol Nutr 2004;7:83-6. https://doi.org/10.5223/kjpgn.2004.7.1.83
  18. Song JE, Lee JR, Park YH, Hong JY, Son SM, Kim KW, et al. A case of perilla allergy in a 2-year-old boy. Pediatr Allergy Respir Dis 2009;19:78-83.
  19. Kim MJ, Choi GS, Um SJ, Sung JM, Shin YS, Park HJ, et al. Anaphylaxis; 10 years' experience at a university hospital in Suwon. Korean J Asthma Allergy Clin Immunol 2008;28:298-304.
  20. Roh EJ, Chung EH, Lee MH, Lee SJ, Youn YS, Lee JH, et al. Clinical features of anaphylaxis in the middle area of South Korea. Pediatr Allergy Respir Dis 2008;18:61-9.
  21. Park HM, Noh JC, Park JH, Won YK, Hwang SH, Kim JY, et al. Clinical features of patients with anaphylaxis at a single hospital. Pediatr Allergy Respir Dis 2012;22:232-8. https://doi.org/10.7581/pard.2012.22.3.232
  22. Jang GC, Chang YS, Choi SH, Song WJ, Lee SY, Park HS, et al. Overview of anaphylaxis in Korea: diagnosis and management. Allergy Asthma Respir Dis 2013;1:181-96. https://doi.org/10.4168/aard.2013.1.3.181
  23. Lim DH. Epidemiology of anaphylaxis in Korean children. Korean J Pediatr 2008;51:351-4. https://doi.org/10.3345/kjp.2008.51.4.351
  24. Yang MS, Kim JY, Kim BK, Park HW, Cho SH, Min KU, et al. True rise in anaphylaxis incidence: epidemiologic study based on a national health insurance database. Medicine (Baltimore) 2017;96:e5750. https://doi.org/10.1097/MD.0000000000005750
  25. Jeong K, Lee JD, Kang DR, Lee S. A population-based epidemiological study of anaphylaxis using national big data in Korea: trends in age-specific prevalence and epinephrine use in 2010-2014. Allergy Asthma Clin Immunol 2018;14:31. https://doi.org/10.1186/s13223-018-0251-z
  26. Lee SY, Kim KW, Lee HH, Lim DH, Chung HL, Kim SW, et al. Incidence and clinical characteristics of pediatric emergency department visits of children with severe food allergy. Korean J Asthma Allergy Clin Immunol 2012;32:169-75.
  27. Lee SY, Ahn K, Kim J, Jang GC, Min TK, Yang HJ, et al. A multicenter retrospective case study of anaphylaxis triggers by age in Korean children. Allergy Asthma Immunol Res 2016 ;8:535-40. https://doi.org/10.4168/aair.2016.8.6.535
  28. Jeong K, Lee SY, Ahn K, Kim J, Lee HR, Suh DI, et al. A multicenter study on anaphylaxis caused by peanut, tree nuts, and seeds in children and adolescents. Allergy 2017;72:507-10. https://doi.org/10.1111/all.13096
  29. Muraro A, Roberts G, Worm M, Bilo MB, Brockow K, Fernandez Rivas M, et al. Anaphylaxis: guidelines from the European Academy of Allergy and Clinical Immunology. Allergy 2014;69:1026-45. https://doi.org/10.1111/all.12437
  30. Simons FE, Ardusso LR, Dimov V, Ebisawa M, El-Gamal YM, Lockey RF, et al. World Allergy Organization Anaphylaxis Guidelines: 2013 update of the evidence base. Int Arch Allergy Immunol 2013;162:193-204. https://doi.org/10.1159/000354543
  31. Grabenhenrich L, Hompes S, Gough H, Rueff F, Scherer K, Pfohler C, et al. Implementation of anaphylaxis management guidelines: a register-based study. PLoS One 2012;7:e35778. https://doi.org/10.1371/journal.pone.0035778
  32. Lin RY, Anderson AS, Shah SN, Nurruzzaman F. Increasing anaphylaxis hospitalizations in the first 2 decades of life: New York State, 1990-2006. Ann Allergy Asthma Immunol 2008;101:387-93. https://doi.org/10.1016/S1081-1206(10)60315-8
  33. Nocerino R, Leone L, Cosenza L, Berni Canani R. Increasing rate of hospitalizations for food-induced anaphylaxis in Italian children: an analysis of the Italian Ministry of Health database. J Allergy Clin Immunol 2015; 135:833-5.e3. https://doi.org/10.1016/j.jaci.2014.12.1912
  34. Liew WK, Williamson E, Tang ML. Anaphylaxis fatalities and admissions in Australia. J Allergy Clin Immunol 2009;123:434-42. https://doi.org/10.1016/j.jaci.2008.10.049
  35. Lee S. Study on prevention of food allergy. Osong (Korea): Ministry of Food and Drug Safety, 2015.
  36. Lee JM, Kim EJ, Kwon DG, Lee SY. Clinical characteristics of walnut allergy and evaluation of cross-reactivity between walnut and peanut in children under 4 years of age. Pediatr Allergy Respir Dis 2011;21:261-8. https://doi.org/10.7581/pard.2011.21.4.261
  37. Lee JM, Jeon SA, Lee SY. Clinical characteristics and diagnostic value of specific immunoglobulin E antibodies in children with kiwi fruit allergy. Allergy Asthma Respir Dis 2013;1:73-8. https://doi.org/10.4168/aard.2013.1.1.73
  38. Lim JH, Jeong KU, Lee JM, Lee KE, Lee S. Usefulness of casein specific IgE and IgG antibodies to immediate type cow's milk allergy. Allergy Asthma Respir Dis 2015;3:139-44. https://doi.org/10.4168/aard.2015.3.2.139
  39. Lee E, Kim MJ, Yang SI, Yu J, Hong SJ. Food-dependent exercise-induced anaphylaxis in Korean children: a single-center retrospective case study. Allergy Asthma Respir Dis 2015;3:194-9. https://doi.org/10.4168/aard.2015.3.3.194
  40. Kim M, Lee JY, Jeon HY, Yang HK, Lee KJ, Han Y, et al. Prevalence of immediate-type food allergy in Korean schoolchildren in 2015: a nationwide, population-based study. Allergy Asthma Immunol Res 2017;9:410-6. https://doi.org/10.4168/aair.2017.9.5.410
  41. Park M, Kim D, Ahn K, Kim J, Han Y. Prevalence of immediate-type food allergy in early childhood in Seoul. Allergy Asthma Immunol Res 2014; 6:131-6. https://doi.org/10.4168/aair.2014.6.2.131
  42. Jeong K, Kim J, Ahn K, Lee SY, Min TK, Pyun BY, et al. Age-based causes and clinical characteristics of immediate-type food allergy in Korean children. Allergy Asthma Immunol Res 2017;9:423-30. https://doi.org/10.4168/aair.2017.9.5.423
  43. Jung SY, Choi YJ, Lee SH, Kang HR, Suh DI. Successful desensitization of a patient with albumin hypersensitivity. Allergy Asthma Respir Dis 2017; 5:117-20. https://doi.org/10.4168/aard.2017.5.2.117
  44. Gang JS, Kim HS, Bang HH, Kim TH, Lee HJ, Hwangbo Y, et al. Pediatric anaphylaxis at a university hospital including the rate of prescribing epinephrine auto-injectors. Allergy Asthma Respir Dis 2017;5:135-40. https://doi.org/10.4168/aard.2017.5.3.135
  45. Seo DH, Ye YM, Kim SC, Ban GY, Kim JH, Shin YS, et al. A single hospital survey of anaphylaxis awareness among health care providers and medical students. Allergy Asthma Respir Dis 2016;4:133-9. https://doi.org/10.4168/aard.2016.4.2.133
  46. Wood RA, Camargo CA Jr, Lieberman P, Sampson HA, Schwartz LB, Zitt M, et al. Anaphylaxis in America: the prevalence and characteristics of anaphylaxis in the United States. J Allergy Clin Immunol 2014;133:461-7. https://doi.org/10.1016/j.jaci.2013.08.016
  47. Nwaru BI, Hickstein L, Panesar SS, Roberts G, Muraro A, Sheikh A, et al. Prevalence of common food allergies in Europe: a systematic review and meta-analysis. Allergy 2014;69:992-1007. https://doi.org/10.1111/all.12423
  48. Patel A, Bahna SL. Hypersensitivities to sesame and other common edible seeds. Allergy 2016;71:1405-13. https://doi.org/10.1111/all.12962
  49. Imai T, Sugizaki C, Ebisawa M. A report on 2011 nationwide survey of immediate type food allergies in Japan (supported by a grant from "consumer affairs agency, government of Japan"). Arerugi 2016;65:942-6.
  50. Jiang N, Yin J, Wen L, Li H. Characteristics of anaphylaxis in 907 Chinese patients referred to a tertiary allergy center: a retrospective study of 1,952 episodes. Allergy Asthma Immunol Res 2016;8:353-61. https://doi.org/10.4168/aair.2016.8.4.353
  51. Tanno LK, Molinari N, Bruel S, Bourrain JL, Calderon MA, Aubas P, et al. Field-testing the new anaphylaxis'classification for the WHO International Classification of Diseases-11 revision. Allergy 2017;72:820-6. https://doi.org/10.1111/all.13093
  52. Cho YJ, Kim SH, Lee H, Choi B, Kim MJ, Hong JS. Accuracy for registration of disease codes in pediatric anaphylaxis. Allergy Asthma Respir Dis 2017;5:159-64. https://doi.org/10.4168/aard.2017.5.3.159
  53. Worm M, Moneret-Vautrin A, Scherer K, Lang R, Fernandez-Rivas M, Cardona V, et al. First European data from the network of severe allergic reactions (NORA). Allergy 2014;69:1397-404. https://doi.org/10.1111/all.12475
  54. Barzegar S, Rosita A, Pourpak Z, Bemanian MH, Shokouhi R, Mansouri M, et al. Common causes of anaphylaxis in children: the first report of anaphylaxis registry in iran. World Allergy Organ J 2010;3:9-13. https://doi.org/10.1097/WOX.0b013e3181c82128
  55. Grabenhenrich LB, Dolle S, Moneret-Vautrin A, Kohli A, Lange L, Spindler T, et al. Anaphylaxis in children and adolescents: The European Anaphylaxis Registry. J Allergy Clin Immunol 2016;137:1128-37.e1. https://doi.org/10.1016/j.jaci.2015.11.015
  56. Li X, Park SJ, Jin F, Deng Y, Yang JH, Chang JH, et al. Tanshinone IIA suppresses TEX>$Fc{\varepsilon}RI$-mediated mast cell signaling and anaphylaxis by activation of the Sirt1/LKB1/AMPK pathway. Biochem Pharmacol 2018;152:362-72. https://doi.org/10.1016/j.bcp.2018.04.015
  57. Heaps A, Carter S, Selwood C, Moody M, Unsworth J, Deacock S, et al. The utility of the ISAC allergen array in the investigation of idiopathic anaphylaxis. Clin Exp Immunol 2014;177:483-90. https://doi.org/10.1111/cei.12334
  58. Eldredge C, Patterson L, White B, Schellhase K. Assessing the readiness of a school system to adopt food allergy management guidelines. WMJ 2014;113:155-61.
  59. Jarvinen KM, Celestin J. Anaphylaxis avoidance and management: educating patients and their caregivers. J Asthma Allergy 2014;7:95-104.
  60. O'Keefe A, Clarke A, St Pierre Y, Mill J, Asai Y, Eisman H, et al. The risk of recurrent anaphylaxis. J Pediatr 2017;180:217-21. https://doi.org/10.1016/j.jpeds.2016.09.028
  61. Cianferoni A, Novembre E, Pucci N, Lombardi E, Bernardini R, Vierucci A. Anaphylaxis: a 7-year follow-up survey of 46 children. Ann Allergy Asthma Immunol 2004;92:464-8. https://doi.org/10.1016/S1081-1206(10)61784-X
  62. Bousquet J, Anto JM, Sterk PJ, Adcock IM, Chung KF, Roca J, et al. Systems medicine and integrated care to combat chronic noncommunicable diseases. Genome Med 2011;3:43. https://doi.org/10.1186/gm259
  63. Lee E, Jeong K, Lee JY, Min TK, Kim M, Yang HK, et al. Clinical characteristics and causative food types of immediate-type cow's milk and egg white allergy in children. Allergy Asthma Respir Dis 2017;5:351-7. https://doi.org/10.4168/aard.2017.5.6.351