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本文引用的文献

1
Immediate-type hypersensitivity to polyethylene glycols: a review.对聚乙二醇的速发型超敏反应:综述
Clin Exp Allergy. 2016 Jul;46(7):907-22. doi: 10.1111/cea.12760.
2
Dynamics of plasma levels of specific IgE in chlorhexidine allergic patients with and without accidental re-exposure.有或无意外再次接触的洗必泰过敏患者中特异性IgE血浆水平的动态变化
Clin Exp Allergy. 2016 Aug;46(8):1090-8. doi: 10.1111/cea.12743. Epub 2016 May 11.
3
Positive serum specific IgE has a short half-life in patients with penicillin allergy and reversal does not always indicate tolerance.在青霉素过敏患者中,血清特异性IgE阳性的半衰期较短,其转阴并不总是表明耐受。
Clin Transl Allergy. 2014 Oct 29;4:34. doi: 10.1186/2045-7022-4-34. eCollection 2014.
4
Inhibition of polyethylene glycol-induced histamine release by monomeric ethylene and diethylene glycol: a case of probable polyethylene glycol allergy.单体乙二醇和二甘醇对聚乙二醇诱导的组胺释放的抑制作用:一例可能的聚乙二醇过敏病例。
J Allergy Clin Immunol. 2013 May;131(5):1425-7. doi: 10.1016/j.jaci.2012.09.037. Epub 2012 Dec 8.
5
A case of anaphylaxis caused by macrogol 3350 after injection of a corticosteroid.注射皮质类固醇后由聚乙二醇3350引起的过敏反应一例。
Contact Dermatitis. 2012 Dec;67(6):376-8. doi: 10.1111/j.1600-0536.2012.02104.x.
6
Usefulness of oral macrogol challenge in anaphylaxis after intra-articular injection of corticosteroid preparation.关节腔内注射皮质类固醇制剂后发生过敏反应时口服聚乙二醇激发试验的效用
Allergy. 2008 Apr;63(4):478-9. doi: 10.1111/j.1398-9995.2007.01610.x.
7
Safety assessment on polyethylene glycols (PEGs) and their derivatives as used in cosmetic products.化妆品中使用的聚乙二醇及其衍生物的安全性评估。
Toxicology. 2005 Oct 15;214(1-2):1-38. doi: 10.1016/j.tox.2005.06.001.
8
Anaphylaxis to macrogol 4000 after a parenteral corticoid injection.注射胃肠外皮质激素后对聚乙二醇4000过敏。
Allergy. 2005 May;60(5):705-6. doi: 10.1111/j.1398-9995.2005.00783.x.

三例注射长效皮质类固醇后发生过敏反应的病例,有证据表明对聚乙二醇而非活性类固醇存在IgE致敏。

Three cases of anaphylaxis following injection of a depot corticosteroid with evidence of IgE sensitization to macrogols rather than the active steroid.

作者信息

Brandt Nicolaj, Garvey Lene H, Bindslev-Jensen Ulla, Kjaer Henrik Fomsgaard, Bindslev-Jensen Carsten, Mortz Charlotte G

机构信息

Department of Dermatology and Allergy Centre, Odense Research Centre for Anaphylaxis (ORCA), Odense University Hospital, University of Southern Denmark, Sdr. Boulevard 29, 5000 Odense C, Denmark.

Department of Dermatology and Allergy, Allergy Clinic, Gentofte Hospital, 2900 Hellerup, Denmark.

出版信息

Clin Transl Allergy. 2017 Jan 10;7:2. doi: 10.1186/s13601-016-0138-3. eCollection 2017.

DOI:10.1186/s13601-016-0138-3
PMID:28078080
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5223300/
Abstract

We present three cases with anaphylaxis after injection of a depot corticosteroid. First, the steroid was suspected as the elicitor, but after evaluation the excipient macrogol was found to be the elicitor. One of the patients had reactions to several unrelated drugs. Increased awareness of anaphylaxis to excipients such as macrogols is needed, especially when allergy tests for the active drug is negative and in patients with a history of repeated anaphylaxis to seemingly unrelated drugs. To establish the correct diagnosis it is important to test with the exact formulation of the culprit drug, as well as all the ingredients including excipients.

摘要

我们报告了3例注射长效皮质类固醇后发生过敏反应的病例。起初,怀疑类固醇是引发因素,但经过评估发现辅料聚乙二醇是引发因素。其中1例患者对几种无关药物有反应。需要提高对聚乙二醇等辅料过敏反应的认识,尤其是在活性药物过敏试验为阴性以及有反复对看似无关药物过敏史的患者中。为了做出正确诊断,用可疑药物的确切制剂以及包括辅料在内的所有成分进行检测很重要。