Intravenous fluorescein as a cause of immunoglobulin E-mediated anaphylactic shock

被引：11
|
作者：
Breidablik, A. [2 ]
de Pater, G. H. [1 ,3 ]
Walther, C. [1 ]
Nopp, A. [4 ]
Guttormsen, A. B. [1 ,3 ]
机构：
[1] Haukeland Hosp, Dept Anaesthesiol & Intens Care, N-5021 Bergen, Norway
[2] Cent Hosp Sogn Fjordane, Dept Anaesthesiol & Intens Care, Forde, Norway
[3] UiB, Dept Surg Sci, N-5021 Bergen, Norway
[4] Karolinska Inst, Dept Med, Clin Immunol & Allergy Unit, Stockholm, Sweden
来源：
ACTA ANAESTHESIOLOGICA SCANDINAVICA | 2012年 / 56卷 / 08期
关键词：
ANGIOGRAPHY;
D O I：
10.1111/j.1399-6576.2012.02732.x
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
We report a patient with severe anaphylactic shock immediately after injection of i.v. fluorescein. The patient recovered without sequela. Immunoglobulin E (IgE) mechanism was highly suggestive with significant increase in serum tryptase, positive basophil allergen threshold sensitivity (CD-sens) and histamine release tests towards fluorescein. This is, to our knowledge, the first report where CD-sens has been used to aid in diagnosing an IgE-mediated anaphylactic shock caused by fluorescein.
引用
收藏
页码：1066 / 1068
页数：3
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