Evidence map›Paper›PMID 39558120›Full record

ArticlePediatric research2025

Clinical and Treatment Evaluation of Anaphylaxis in Children Aged 0-2 Years: Multicenter Study.

Ahmet Selmanoglu, Idil Akay Haci, Fatih Sultan Mehmet Koc, Yuksel Kavas Yildiz, Ebru Arik Yilmaz, Dilek Azkur, Semiha Bahceci Erdem, Hakan Guvenir, Deniz Ozceker, Belgin Usta Guc and 8 more

Abstract readMulticenter Study
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In one paragraph

Article in Pediatric research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Observational
  2. [How I treat anaphylaxis in children].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Ahmet SelmanogluDepartment of Pediatric Allergy and Immunology, University of Health Sciences Ankara City Hospital, Ankara, Turkey.
Idil Akay HaciDepartment of Pediatric Allergy and Immunology, University of Health Sciences, Behçet Uz Child Disease and Pediatric Surgery Hospital, İzmir, Turkey.
Fatih Sultan Mehmet KocDepartment of Pediatric Allergy and Immunology, Karadeniz Technical University Faculty of Medicine Hospital, Trabzon, Turkey.
Yuksel Kavas YildizDepartment of Pediatric Allergy and Immunology, University of Health Sciences Ankara Training and Research Hospital, Ankara, Turkey.
Ebru Arik YilmazDepartment of Pediatric Allergy and Immunology, Pamukkale University Faculty of Medicine Hospital, Denizli, Turkey.
Dilek AzkurDepartment of Pediatric Allergy and Immunology, Kırıkkale University Faculty of Medicine Hospital, Kırıkkale, Turkey.
Semiha Bahceci ErdemDepartment of Pediatric Allergy and Immunology, Ministry of Health, Bakırçay University, Çiğli Training and Research Hospital, İzmir, Turkey.
Hakan GuvenirDepartment of Pediatric Allergy and Immunology, Derince Training and Research Hospital, Kocaeli, Turkey.
Deniz OzcekerDepartment of Pediatric Allergy and Immunology, University of Health Sciences, Prof Dr. Cemil Tascioglu City Hospital, İstanbul, Turkey.
Belgin Usta GucDepartment of Pediatric Allergy and Immunology, University of Health Sciences, Adana City Hospital, Adana, Turkey.
Aylin Kont OzhanDepartment of Pediatric Allergy and Immunology, Mersin University Faculty of Medicine Hospital, Mersin, Turkey.
Ayca DemirDepartment of Pediatric Allergy and Immunology, University of Health Sciences, Behçet Uz Child Disease and Pediatric Surgery Hospital, İzmir, Turkey.
Fazıl OrhanDepartment of Pediatric Allergy and Immunology, Karadeniz Technical University Faculty of Medicine Hospital, Trabzon, Turkey.
Emine VezirDepartment of Pediatric Allergy and Immunology, University of Health Sciences Ankara Training and Research Hospital, Ankara, Turkey.
Demet CanDepartment of Pediatric Allergy and Immunology, University of Health Sciences, Behçet Uz Child Disease and Pediatric Surgery Hospital, İzmir, Turkey.
Muge ToyranDepartment of Pediatric Allergy and Immunology, University of Health Sciences Ankara City Hospital, Ankara, Turkey.
Ersoy CivelekDepartment of Pediatric Allergy and Immunology, University of Health Sciences Ankara City Hospital, Ankara, Turkey.
Emine Dibek MısırlıogluDepartment of Pediatric Allergy and Immunology, University of Health Sciences Ankara City Hospital, Ankara, Turkey. edibekm@yahoo.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDiagnosing anaphylaxis in children within the first 2 years of life can be difficult due to the often confusing and nonspecific signs and symptoms.

objectiveThis study focuses on the phenotype of anaphylaxis in children within the first 2 years of life and aims to increase awareness of anaphylaxis in this age group.

methodsThe study included children between 0 and 2 years who were diagnosed as having anaphylaxis by pediatric allergists in 11 tertiary hospitals.

resultsA total of 402 anaphylaxis episodes experienced by 360 patients (68.7% males) were included in the study. Food was the most common causative agent (n = 374, 93%), with the most common foods being cow's milk (n = 179, 44.6%). Drugs were the second most common trigger (n = 15, 3.7%). The most common clinical findings were cutaneous (95%) and respiratory (72%); nonspecific symptoms such as weakness (n = 63, 15.6%) and hoarseness (n = 14, 3.4%) were also reported. There was a biphasic course in 3 infants (0.8%). Only 3 of the 41 parents who had an adrenaline autoinjector used it during anaphylaxis.

conclusionInfants experience anaphylaxis most often when they are at home with their mothers, and the most common triggers are foods, particularly cow's milk and egg. Greater awareness of anaphylaxis symptoms and autoinjector use among mothers can facilitate management. IMPACT: Infant anaphylaxis cases may present with different symptoms compared to classic presentations, potentially leading to diagnostic oversight. The study elucidates the clinical course of anaphylaxis in children under 2 years of age. It details the treatment strategies employed in managing these cases. Anaphylaxis triggers were identified over several years. Cases from 11 regions of Turkey were included, representing a population reflective of national data. The study highlights the distinctiveness of anaphylaxis cases in children within the first 2 years of life.

Indexed as

AnaphylaxisChild, PreschoolEpinephrineFemaleFood HypersensitivityHumansInfantInfant, NewbornMaleMilk HypersensitivityEpinephrine

Identifiers

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.