الفهرس 
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Abstract
SUMMARY
A
naphylaxis is a potentially life threatening allergic reaction that is rapid in onset and multisystemic in nature. In children, food triggers are the most common. Distribution of anaphylaxis tends to fluctuate based on age, gender, race, geographical residence and socioeconomic status of the involved subjects. Diagnosis of anaphylaxis is generally underestimated particularly in developing countries, and when diagnosed, proper management is occasionally lacking.
The aim of this study was to evaluate the pattern of anaphylaxis among children attending Children’s hospital, Ain Shams University, through identification of the underlying triggers, presenting symptoms, mistakes in diagnosis and treatment.
This study was conducted over 6 months in ED of Children’s hospital, Ain Shams University. We identified 80 patients with anaphylaxis out of 18816 children presented to ED, 47 (58.8%) males and 33(41.3%) females, with mean age 2.94 ± 3.44 years and range of 0.33-14 years. Sixty percent of anaphylactic patients were infants. Infants were the most common age group experiencing biphasic anaphylaxis. The commonest trigger was food followed by medications. Atopy as a risk factor of anaphylaxis was reported in 28.7% of the studied children and 61.3% in their families. Early recognition and diagnosis of anaphylaxis by junior pediatricians was reported in all patients, with epinephrine given in most occasions in proper dosage and method. Education of children and their caregivers, providing written action plan, ready-to-use epinephrine and follow up appointment were deficient