Anaphylaxis symptoms appear to resolve in most infants with a single dose of epinephrine
Although many parents of infants worry that their child has a food allergy, there has not been much research into the occurrence of anaphylaxis in infants. A new study presented at this year's annual scientific meeting of the American College of Allergy, Asthma and Immunology (ACAAI) in Louisville, Kentucky, shows that among infants 0 to 24 months old who presented to the emergency room with anaphylaxis, few required hospitalization and most were able to go home after a few hours of observation. We reviewed the medical records of 169 patients under 2 years of age who presented with anaphylaxis...

Anaphylaxis symptoms appear to resolve in most infants with a single dose of epinephrine
Although many parents of infants worry that their child has a food allergy, there has not been much research into the occurrence of anaphylaxis in infants. A new study presented at this year's annual scientific meeting of the American College of Allergy, Asthma and Immunology (ACAAI) in Louisville, Kentucky, shows that among infants 0 to 24 months old who presented to the emergency room with anaphylaxis, few required hospitalization and most were able to go home after a few hours of observation.
We reviewed the medical records of 169 patients under 2 years of age who presented with anaphylaxis and found that symptoms were reported in the cutaneous/mucosal (97.6%), gastrointestinal (74.6%), respiratory (56.8%), and cardiovascular (34.3%) systems. Almost all episodes were triggered by food, particularly egg (26.6%), peanut (25.4%), milk (13.6%) and cashew (10.1%).
Colleen Shannon, MD, MPH, ACAAI member and lead author of the study
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146 patients (86.4%) received epinephrine, with 51 (30.1%) receiving it before hospital arrival and 16 (9.5%) requiring more than one dose. Seventeen infant patients (10.1%) were hospitalized, but none required intensive care.
"It is important that infants, just like older children and adults, require a rapid and accurate diagnosis to ensure that their anaphylaxis is appropriately treated," said allergist Juhee Lee, MD, senior author of the study. "Fortunately, most cases of anaphylaxis in infants appear to resolve with a single dose of epinephrine. The vast majority were able to go home from the emergency room without further intervention."
If your child has a severe allergic reaction to a food, see an allergist for diagnosis and treatment, including a prescription for an epinephrine auto-injector. And avoid this food in the future. Anyone who has a food allergy should seek treatment from an allergist. An allergist can create a plan to help patients identify their food allergens and avoid triggers.
Source:
American College of Allergy, Asthma and Immunology (ACAAI)
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