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[非甾体抗炎药过敏与不耐受:三例成功脱敏]

[Allergy and intolerance to nonsteroidal antinflammatory drugs: successful desensitization in three cases].

作者信息

Cardona Ricardo, Ramírez Ruth Helena, Reina Zulma, Escobar Mauricio Fernando, Morales Edison

机构信息

Facultad de Medicina, Universidad de Antioquia, Medellín, Colombia.

出版信息

Biomedica. 2009 Jun;29(2):181-90.

Abstract

Adverse reactions to nonsteroidal antinflammatory drugs are the second cause of reactions to drugs after beta-lactams. Prevalence of these reactions among general population is between 0.1-0.3%, and prevalence of nonsteroidal antinflammatory drug-induced anaphylaxis is 0.01%. Acetylsalicylic acid or nonsteroidal antinflammatory drug sensitivity can be manifested as acute urticaria, angioedema, acute asthma, acetylsalicylic acid exacerbated respiratory disease and anaphylaxis. An updated review based on three cases of patientes with acetylsalicylic acid or nonsteroidal antinflammatory drug intolerance is presented in which, because of their concomitant diseases, permanent treatment with acetylsalicylic acid was required. After undergoing a fast acetylsalicylic acid desentization protocol in an intensive care unit, these patients were able to receive daily acetylsalicylic acid doses without any adverse effects.

摘要

非甾体抗炎药的不良反应是继β-内酰胺类药物之后药物不良反应的第二大原因。这些反应在普通人群中的发生率在0.1%至0.3%之间,非甾体抗炎药引起的过敏反应发生率为0.01%。乙酰水杨酸或非甾体抗炎药敏感性可表现为急性荨麻疹、血管性水肿、急性哮喘、乙酰水杨酸加重的呼吸道疾病和过敏反应。本文基于3例对乙酰水杨酸或非甾体抗炎药不耐受的患者进行了最新综述,由于他们患有合并症,需要长期使用乙酰水杨酸治疗。在重症监护病房接受快速乙酰水杨酸脱敏方案后,这些患者能够每日服用乙酰水杨酸剂量而无任何不良反应。

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