Recurrent intradialytic heparin induced anaphylaxis: workup and management
Asia Pacific Allergy
;
(4): 285-288, 2013.
Article
in English
| WPRIM
| ID: wpr-749957
ABSTRACT
Heparin has been widely used for intradialytic anticoagulation since the 1940s. Heparin induced anaphylaxis can be life threatening, mandating early recognition and intervention. However, due to its relative rarity many physicians remain unaware. We report the case of a 70-year-old woman requiring dialysis, who developed recurrent anaphylaxis to intradialytic heparin. We describe a systematic approach to confirm the suspected heparin allergy, which must include an evaluation of predisposing factors, the dialysis equipment and concomitant medications. Further workup for safe alternatives employing skin prick and intradermal tests, as well as provocation tests are discussed.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Skin
/
Intradermal Tests
/
Skin Tests
/
Heparin
/
Causality
/
Dialysis
/
Drug Hypersensitivity
/
Hypersensitivity
/
Anaphylaxis
Limits:
Aged
/
Female
/
Humans
Language:
English
Journal:
Asia Pacific Allergy
Year:
2013
Type:
Article
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