Shawkat Emma, Hussain Nawar, Myers Jenny E, Gillham Joanna, Helbert Matthew
Obstetrics and Gynaecology Department, Saint Mary's Hospital, Manchester, UK.
BMJ Case Rep. 2011 Oct 28;2011:bcr0120113766. doi: 10.1136/bcr.01.2011.3766.
Anaphylaxis can occur secondary to breastfeeding. The authors present a case of a 30-year-old woman who complained of chest tightness, shortness of breath and a rash on the third day postpartum. She was treated for anaphylaxis and her symptoms resolved. Because she had taken tramadol prior to this event, a drug reaction was initially suspected. However, she experienced further episodes related to breastfeeding, despite stopping tramadol. Effective control of her symptoms was achieved with regular antihistamines, enabling her to continue breastfeeding. Antihistamines were interrupted after 8 weeks at which point lactation (in hospital) was once again associated with anaphylaxis. The diagnosis of breastfeeding induced anaphylaxis was made. There are six previously reported cases of breastfeeding induced anaphylaxis. The authors describe the second case of breastfeeding anaphylaxis extending beyond the neonatal period, controlled with antihistamines.
过敏反应可能继发于母乳喂养。作者报告了一例30岁女性病例，该患者在产后第三天出现胸闷、气短和皮疹。她接受了过敏反应治疗，症状得到缓解。由于在此事件发生前她服用过曲马多，最初怀疑是药物反应。然而，尽管停用了曲马多，她仍出现了与母乳喂养相关的进一步发作。通过定期服用抗组胺药有效控制了她的症状，使她能够继续母乳喂养。8周后停用抗组胺药，此时（在医院）哺乳再次引发过敏反应。最终确诊为母乳喂养诱发的过敏反应。此前已有6例母乳喂养诱发过敏反应的报告。作者描述了第二例母乳喂养过敏反应发生在新生儿期之后，通过抗组胺药得到控制的病例。
