Table 4. Differences in the epidemiology and pathophysiology of anaphylaxis due to food versus non-food causes.
Food | Medication / iatrogenic causes | Venom sting | |
---|---|---|---|
Age distribution: anaphylaxis (all severity) | Most common in preschool children, less common in older adults | Predominantly older ages | All ages |
Age distribution: fatal anaphylaxis | Young adults into 4th decade of life. Rare in younger children. | Unusual until 5th decade of life. | 4th to 6th decade |
Symptoms | Respiratory | Cardiovascular (respiratory less common) | Cardiovascular (respiratory less common) |
Asthma/atopy | Common | Uncommon | Uncommon |
Onset | Less rapid | Rapid | Rapid |
Site of Antigen presentation | Usually orogastric route | Usually parenteral route | Parenteral |
Triggering threshold dose | ++ interperson variability (up to 4 log) | Poor data for medications | Less variability for insect stings |
Mechanism | No or relatively modest increases in MCT generally observed | Increased MCT often seen | Increased MCT often seen |
Sex | M=F | M=F | M>>F |
Ethnic distribution | ? higher risk in persons of Asian decent ? more common in male children of African American decent |
More common in persons of African American decent | More common in Caucasians |