Allergic response to nasal administration of dexpanthenol in a child. A case report and a review of the literature

A 2-year-old boy with suspected lactose intolerance developed an extensive, itchy rash after using a nasal spray containing dexpanthenol. He was initially treated for a viral upper airway infection with ibuprofen, xylometazoline, and cetirizine. A switch to a drug containing dexpanthenol led to the...

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Main Authors: Mikołaj Turski, Małgorzata Łukasiewicz, Piotr Sajdak, Seweryn Ziajor, Artur Bednarski, Justyna Tomasik, Marcel Stodolak
Format: Article
Language:English
Published: Termedia Publishing House 2024-02-01
Series:Alergologia Polska
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Online Access:https://www.termedia.pl/Allergic-response-to-nasal-administration-of-dexpanthenol-r-nin-a-child-A-case-report-and-a-review-of-the-literature,123,52423,1,1.html
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author Mikołaj Turski
Małgorzata Łukasiewicz
Piotr Sajdak
Seweryn Ziajor
Artur Bednarski
Justyna Tomasik
Marcel Stodolak
author_facet Mikołaj Turski
Małgorzata Łukasiewicz
Piotr Sajdak
Seweryn Ziajor
Artur Bednarski
Justyna Tomasik
Marcel Stodolak
author_sort Mikołaj Turski
collection DOAJ
description A 2-year-old boy with suspected lactose intolerance developed an extensive, itchy rash after using a nasal spray containing dexpanthenol. He was initially treated for a viral upper airway infection with ibuprofen, xylometazoline, and cetirizine. A switch to a drug containing dexpanthenol led to the appearance of the rash and subsequent sleep deprivation. No other possible cause of allergy was found. The withdrawal of all drugs but cetirizine led to full recovery. Dexpanthenol, an alcohol analog of vitamin B5, is present in many drugs for its positive impact on tissue repair. Although generally considered safe, it may rarely cause an allergic reaction, hence we underscore the importance of considering dexpanthenol oversensitivity in patients with unexplained widespread rashes, particularly in pediatric cases.
format Article
id doaj-art-0bdf818507e74f789680c59968721096
institution Kabale University
issn 2353-3854
2391-6052
language English
publishDate 2024-02-01
publisher Termedia Publishing House
record_format Article
series Alergologia Polska
spelling doaj-art-0bdf818507e74f789680c599687210962025-01-27T10:33:52ZengTermedia Publishing HouseAlergologia Polska2353-38542391-60522024-02-01111767910.5114/pja.2024.13550752423Allergic response to nasal administration of dexpanthenol in a child. A case report and a review of the literatureMikołaj TurskiMałgorzata ŁukasiewiczPiotr SajdakSeweryn ZiajorArtur BednarskiJustyna TomasikMarcel StodolakA 2-year-old boy with suspected lactose intolerance developed an extensive, itchy rash after using a nasal spray containing dexpanthenol. He was initially treated for a viral upper airway infection with ibuprofen, xylometazoline, and cetirizine. A switch to a drug containing dexpanthenol led to the appearance of the rash and subsequent sleep deprivation. No other possible cause of allergy was found. The withdrawal of all drugs but cetirizine led to full recovery. Dexpanthenol, an alcohol analog of vitamin B5, is present in many drugs for its positive impact on tissue repair. Although generally considered safe, it may rarely cause an allergic reaction, hence we underscore the importance of considering dexpanthenol oversensitivity in patients with unexplained widespread rashes, particularly in pediatric cases.https://www.termedia.pl/Allergic-response-to-nasal-administration-of-dexpanthenol-r-nin-a-child-A-case-report-and-a-review-of-the-literature,123,52423,1,1.htmlrash dexpanthenol allergy allergic reaction dexpanthenol oversensitivity widespread rash
spellingShingle Mikołaj Turski
Małgorzata Łukasiewicz
Piotr Sajdak
Seweryn Ziajor
Artur Bednarski
Justyna Tomasik
Marcel Stodolak
Allergic response to nasal administration of dexpanthenol in a child. A case report and a review of the literature
Alergologia Polska
rash
dexpanthenol allergy
allergic reaction
dexpanthenol oversensitivity
widespread rash
title Allergic response to nasal administration of dexpanthenol in a child. A case report and a review of the literature
title_full Allergic response to nasal administration of dexpanthenol in a child. A case report and a review of the literature
title_fullStr Allergic response to nasal administration of dexpanthenol in a child. A case report and a review of the literature
title_full_unstemmed Allergic response to nasal administration of dexpanthenol in a child. A case report and a review of the literature
title_short Allergic response to nasal administration of dexpanthenol in a child. A case report and a review of the literature
title_sort allergic response to nasal administration of dexpanthenol in a child a case report and a review of the literature
topic rash
dexpanthenol allergy
allergic reaction
dexpanthenol oversensitivity
widespread rash
url https://www.termedia.pl/Allergic-response-to-nasal-administration-of-dexpanthenol-r-nin-a-child-A-case-report-and-a-review-of-the-literature,123,52423,1,1.html
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