PROFILES OF FOOD ALLERGY PATIENTS WITH PRESCRIPTION OF EPIPEN IN OUR DIVISION

DOI 4 Citations 28 References
  • Sato Sakura
    Clinical Research Center for Allergy and Rheumatology, Department of Allergy, Sagamihara National Hospital Organization, Sagamihara National Hospital
  • Tachimoto Hiroshi
    Division of Pediatric Allergy, National Hospital Organization, Sagamihara National Hospital
  • Komata Takahiro
    Division of Pediatric Allergy, National Hospital Organization, Sagamihara National Hospital
  • Ogata Mika
    Division of Pediatric Allergy, National Hospital Organization, Sagamihara National Hospital
  • Imai Takanori
    Division of Pediatric Allergy, National Hospital Organization, Sagamihara National Hospital
  • Tomikawa Morimitu
    Division of Pediatric Allergy, National Hospital Organization, Sagamihara National Hospital
  • Shukuya Akinori
    Division of Pediatric Allergy, National Hospital Organization, Sagamihara National Hospital
  • Ebisawa Motohiro
    Clinical Research Center for Allergy and Rheumatology, Department of Allergy, Sagamihara National Hospital Organization, Sagamihara National Hospital

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Other Title
  • 食物アレルギー患者へのエピペン処方症例の検討

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Description

We have prescribed Epipen® for 50 food-allergic patients (male: 33, female: 17, 0.3mg: 15, 0.15mg: 35) during the first six months after Epipen came onto Japanese market. The mean age of the subjects was 6.8 years old and 78% of the subjects were complicated with atopic dermatitis, 52% of those with bronchial asthma. Among 50 cases, 48 cases experienced anaphylaxis (symptoms> 2 organs) mostly due to accidental intake of offending foods at the first time or at the second time. The most common type of food allergy at the onset was ''infantile atopic dermatitis associated with food allergy'' in 36 cases, followed by 8 cases of immediate type food allergy and 4 cases of Food-dependent exercise-induced anaphylaxis (FEIAn). Thirty-one cases with repeated anaphylaxis were even recognized, furthermore the cases with unknown causes and the cases against multiple foods were seen. Among 50 Epipen®-prescribed cases, seventeen years old boy, patient with nuts allergy, actually used Epipen® resulting in dramatic relief of the symptoms. In conclusion, the recognition of Epipen® is not sufficient by doctors and co-medicals, however, it would be important to prescribe Epipen® for the patients with food-induced anaphylaxis consulting with their parents.

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