Symptom severity, organ symptoms, and treatment required in AAR
Of the 148 AAR, 61 occurred in HE, 57 in CM, 12 in wheat, and 8 in peanut allergies. Mild symptoms were observed in 66 patients (44%), moderate symptoms in 76 (51%), and severe symptoms in 1 (0.7%) in all cohorts. The treatment was required in 101 (68%), and intramuscular adrenaline was administered to 6 (4%) (Table 2). There were 14 cases of anaphylaxis, and 6 received intramuscular adrenaline administered by guardians, teachers, or doctors. Of the 8 cases that were not administered, 5 had been pre-prescribed auto-adrenaline injections but could not use them for AAR. Alternative treatments besides adrenaline administration included the following: 8 cases received 8 antihistamines, 6 steroid administrations, and 2 inhalations of β2-stimulants.