Niedoszytko M, Chelminska M, Buss T, Roik E, Jassem E
Department of Allergology, Medical University of Gdansk, Gdansk, Poland.
Int J Clin Pract. 2006 Oct;60(10):1327-9. doi: 10.1111/j.1742-1241.2006.00846.x. Epub 2006 Jun 19.
The increasing rate of the idiopathic environmental intolerance (IEI) has been observed for the last decade. The aim of this report was to analyse the allergic component of the disease in particular relation to drug intolerance. Six patients with diagnosed IEI showed a positive skin test reaction to several commonly used antibiotics, nonsteroidal anti-inflammatory drugs, myorelaxants, verapamil, etc. In three cases, the thorough diagnosis of sensitivity to anaesthetic agents enabled to perform necessary surgical treatment, in others - facilitated the proper treatment of headaches and hypertension. Symptoms related to allergy contributed to the deterioration of IEI. Thus, a consultation of IEI patients by an allergologist seems to be of a substantial importance.
在过去十年中,特发性环境不耐受(IEI)的发病率呈上升趋势。本报告的目的是分析该疾病的过敏成分,特别是与药物不耐受的关系。六名被诊断为IEI的患者对几种常用抗生素、非甾体抗炎药、肌肉松弛剂、维拉帕米等表现出阳性皮肤试验反应。在三例病例中,对麻醉剂敏感性的全面诊断使得能够进行必要的手术治疗,在其他病例中,则有助于头痛和高血压的恰当治疗。与过敏相关的症状导致IEI病情恶化。因此,过敏症专科医生对IEI患者进行会诊似乎至关重要。