Department of Allergy and Clinical Immunology, University of Michigan, Ann Arbor, MI, USA.
Allergy Asthma Proc. 2013 May-Jun;34(3):292-6. doi: 10.2500/aap.2013.34.3650.
Anosmia with asthma and nasal polyposis raises suspicion for aspirin-exacerbated respiratory disease (AERD). Guidelines for desensitization of patients with AERD to prevent recurrent nasal polyposis and improve upper and lower respiratory symptoms are well established. We present a patient with an uncommon reaction to acetylsalicylic acid (ASA) and nonsteroidal anti-inflammatory drugs who required deviation from the standard ASA desensitization approach.
伴有哮喘和鼻息肉的嗅觉丧失会使人怀疑是否患有阿司匹林加重的呼吸系统疾病(AERD)。针对 AERD 患者进行脱敏治疗以预防鼻息肉复发和改善上、下呼吸道症状的指南已经得到充分确立。我们介绍了一位对乙酰水杨酸(ASA)和非甾体抗炎药有不同寻常反应的患者,其需要偏离标准的 ASA 脱敏方法。