Delayed urticaria caused by lidocaine in a child
Allergy, Asthma & Respiratory Disease
;
: 298-301, 2014.
Artigo
em Coreano
| WPRIM
| ID: wpr-29499
ABSTRACT
Lidocaine is a commonly used local anesthetic for dental treatment. Urticaria caused by lidocaine has seldom been reported. Generally, urticaria immediately develops after exposure to a causative agent and is considered a manifestation of IgE-mediated hypersensitivity. However, delayed urticaria caused by local anesthetics was reported to be related to cell mediated hypersenstivity. A 3-year old girl visited our allergy clinic due to delayed urticaria after local administration of lidocaine. Both skin prick and intradermal tests with lidocaine revealed negative reactions. However, the provocation test with subcutaneous injection of lidocaine showed urticaria 7 hours after test. In order to identify alternative local anesthetic for the subsequent dental procedure, we performed skin prick, intradermal and provocation tests with procaine, a local anesthetic of the other class, all of which showed negative results. Therefore, we recommended procaine as an alternative local anesthetic, and the patient was successfully treated with procaine. To the best of our knowledge, this is the first case of delayed urticaria caused by lidocaine in Korea.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Procaína
/
Pele
/
Urticária
/
Testes Intradérmicos
/
Efeitos Colaterais e Reações Adversas Relacionados a Medicamentos
/
Hipersensibilidade
/
Hipersensibilidade Imediata
/
Injeções Subcutâneas
/
Coreia (Geográfico)
/
Anestésicos Locais
Limite:
Criança
/
Feminino
/
Humanos
País/Região como assunto:
Ásia
Idioma:
Coreano
Revista:
Allergy, Asthma & Respiratory Disease
Ano de publicação:
2014
Tipo de documento:
Artigo
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