Pescatore Richard, Mekkaoui Sumaya, Duffell Brian, Riviello Ralph
Emergency Medicine, Crozer-Keystone Health System, Chester, USA.
Emergency Medicine, Crozer-Keystone Health System, Upland, USA.
Cureus. 2019 Aug 27;11(8):e5497. doi: 10.7759/cureus.5497.
We describe the case of a patient who presented multiple times to the emergency department (ED) with recurrent episodes of anaphylaxis in the immediate postpartum period. It was initially thought to be idiopathic in nature on previous visits, but was ultimately diagnosed as lactation anaphylaxis and successfully managed. The diagnosis was suspected when the detailed history revealed recurrent allergic symptoms with each episode of breastfeeding. Following emergency treatment of anaphylaxis, the patient was advised to transition to formula feeding and had no further allergic episodes from the time of discharge to the three-month follow-up period.
我们描述了一名患者的病例，该患者在产后即刻多次因反复出现过敏反应而前往急诊科就诊。之前就诊时最初认为其本质上是特发性的，但最终被诊断为哺乳期过敏反应并得到成功治疗。当详细病史显示每次母乳喂养时都会出现反复过敏症状时，怀疑了该诊断。在对过敏反应进行紧急治疗后，建议患者改用配方奶喂养，从出院到三个月随访期间未再出现过敏发作。
