The frequency of hospitalisation for anaphylaxis has grown especially in the case of food and pharmaceutical triggersOver the past 20 years in Europe, Australia and North America. Adolescents are the most vulnerable to dietary diseases and mortality due to food-induced anaphylaxis, although the causes for this disproportionate sensitivity are not well documented. A probable increase in food induced anaphylaxis among adolescents seems to have been suggested in recent studies. Anaphylactic death rates are steady in North America and the UK, but not in Australia, where there have lately been double the incidence of fatal anaphylaxis. The age distribution of fatal anaphylaxis is based on the character of the culprit trigger and statistics indicate that fatal food anaphylactic predispositions in adolescents and young adults are associated with age. Adolescence is a vital phase of transition when physical, emotional and social changes happen quickly and substantially.

Adolescents therefore experience challenges different to other age groups in self-management which contribute to a greater likelihood of bad anaphylactic outcomes. The aim of this review is to present recent information on epidemiology and anaphylactic elicitors in teenagers and to address the present barriers to the anaphylactic self-management in this sensitive age group and potential facilitators.