The Rare Case of a Probably True IgE-Mediated Allergy to Local Anaesthetics
The majority of immediate type adverse reactions to local anaesthetics seem to be non-IgE-mediated. We report a case of a 31-year-old woman, who developed conjunctivitis and conjunctival erythema immediately after intrauterine application of a local anaesthetic. Skin prick testing and intradermal te...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2013/201586 |
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| author | Christina Fellinger Felix Wantke Wolfgang Hemmer Gabriele Sesztak-Greinecker Stefan Wöhrl |
| author_facet | Christina Fellinger Felix Wantke Wolfgang Hemmer Gabriele Sesztak-Greinecker Stefan Wöhrl |
| author_sort | Christina Fellinger |
| collection | DOAJ |
| description | The majority of immediate type adverse reactions to local anaesthetics seem to be non-IgE-mediated. We report a case of a 31-year-old woman, who developed conjunctivitis and conjunctival erythema immediately after intrauterine application of a local anaesthetic. Skin prick testing and intradermal testing were done with lidocaine, mepivacaine, and procaine. Intradermal testing showed positive reactions to mepivacaine (1 : 10), undiluted lidocaine, and procaine (1 : 10 and undiluted). Specific IgE could be detected against mepivacaine, but not against latex. Serum tryptase was in the normal range. In order to rule out the exceptional case of a true IgE-mediated reaction, allergy testing with local anaesthetics is still required in the workup of patients. |
| format | Article |
| id | doaj-art-18cd2e1b486f4be18f656b1e46889e21 |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-18cd2e1b486f4be18f656b1e46889e212025-02-03T01:32:40ZengWileyCase Reports in Medicine1687-96271687-96352013-01-01201310.1155/2013/201586201586The Rare Case of a Probably True IgE-Mediated Allergy to Local AnaestheticsChristina Fellinger0Felix Wantke1Wolfgang Hemmer2Gabriele Sesztak-Greinecker3Stefan Wöhrl4Floridsdorf Allergy Centre (FAZ), Franz Jonas Platz 8/6, 1210 Vienna, AustriaFloridsdorf Allergy Centre (FAZ), Franz Jonas Platz 8/6, 1210 Vienna, AustriaFloridsdorf Allergy Centre (FAZ), Franz Jonas Platz 8/6, 1210 Vienna, AustriaFloridsdorf Allergy Centre (FAZ), Franz Jonas Platz 8/6, 1210 Vienna, AustriaFloridsdorf Allergy Centre (FAZ), Franz Jonas Platz 8/6, 1210 Vienna, AustriaThe majority of immediate type adverse reactions to local anaesthetics seem to be non-IgE-mediated. We report a case of a 31-year-old woman, who developed conjunctivitis and conjunctival erythema immediately after intrauterine application of a local anaesthetic. Skin prick testing and intradermal testing were done with lidocaine, mepivacaine, and procaine. Intradermal testing showed positive reactions to mepivacaine (1 : 10), undiluted lidocaine, and procaine (1 : 10 and undiluted). Specific IgE could be detected against mepivacaine, but not against latex. Serum tryptase was in the normal range. In order to rule out the exceptional case of a true IgE-mediated reaction, allergy testing with local anaesthetics is still required in the workup of patients.http://dx.doi.org/10.1155/2013/201586 |
| spellingShingle | Christina Fellinger Felix Wantke Wolfgang Hemmer Gabriele Sesztak-Greinecker Stefan Wöhrl The Rare Case of a Probably True IgE-Mediated Allergy to Local Anaesthetics Case Reports in Medicine |
| title | The Rare Case of a Probably True IgE-Mediated Allergy to Local Anaesthetics |
| title_full | The Rare Case of a Probably True IgE-Mediated Allergy to Local Anaesthetics |
| title_fullStr | The Rare Case of a Probably True IgE-Mediated Allergy to Local Anaesthetics |
| title_full_unstemmed | The Rare Case of a Probably True IgE-Mediated Allergy to Local Anaesthetics |
| title_short | The Rare Case of a Probably True IgE-Mediated Allergy to Local Anaesthetics |
| title_sort | rare case of a probably true ige mediated allergy to local anaesthetics |
| url | http://dx.doi.org/10.1155/2013/201586 |
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