diff --git a/backend/pmr_api.py b/backend/pmr_api.py
index d806c78..2573292 100644
--- a/backend/pmr_api.py
+++ b/backend/pmr_api.py
@@ -975,6 +975,7 @@ def paai_analyze():
         pre_serial = data.get('pre_serial')
         cus_code = data.get('cus_code')
         patient_name = data.get('patient_name')
+        patient_note = data.get('patient_note', '')  # 환자 특이사항 (알러지, 기저질환 등)
         disease_info = data.get('disease_info', {})
         current_medications = data.get('current_medications', [])
         previous_serial = data.get('previous_serial')
@@ -1056,7 +1057,8 @@ def paai_analyze():
             current_medications=current_medications,
             prescription_changes=prescription_changes,
             kims_interactions=kims_interactions,
-            otc_history=otc_history
+            otc_history=otc_history,
+            patient_note=patient_note
         )
         
         # 5. Clawdbot AI 호출 (WebSocket)
@@ -1146,7 +1148,8 @@ def build_paai_prompt(
     current_medications: list,
     prescription_changes: dict,
     kims_interactions: list,
-    otc_history: dict
+    otc_history: dict,
+    patient_note: str = ''
 ) -> str:
     """AI 프롬프트 생성"""
     
@@ -1194,11 +1197,17 @@ def build_paai_prompt(
         for item in otc_history['frequent_items'][:5]:
             otc_lines.append(f"- {item.get('name', '?')} ({item.get('count', 0)}회 구매)")
     
+    # 환자 특이사항 (알러지, 기저질환 등)
+    note_text = patient_note.strip() if patient_note else ''
+    
     prompt = f"""당신은 약사를 보조하는 AI입니다. 환자 정보와 KIMS 상호작용 데이터를 바탕으로 분석해주세요.
 
 ## 환자 질병
 {chr(10).join(diseases) if diseases else '- 정보 없음'}
 
+## 환자 특이사항 (알러지/기저질환/주의사항)
+{note_text if note_text else '- 없음'}
+
 ## 현재 처방
 {chr(10).join(med_lines) if med_lines else '- 정보 없음'}
 
diff --git a/backend/templates/pmr.html b/backend/templates/pmr.html
index c469db3..bfe799b 100644
--- a/backend/templates/pmr.html
+++ b/backend/templates/pmr.html
@@ -1893,6 +1893,7 @@
                 pre_serial: preSerial,
                 cus_code: currentPrescriptionData.cus_code,
                 patient_name: patientName,
+                patient_note: currentPrescriptionData.cusetc || '',  // 환자 특이사항 (알러지, 기저질환 등)
                 disease_info: {
                     code_1: currentPrescriptionData.st1 || '',
                     name_1: currentPrescriptionData.st1_name || '',