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脱敏疗法成功治疗胰岛素过敏:一例报告及文献综述

Successful Treatment of Insulin Allergy with Desensitization Therapy: A Case Report and Literature Review.

作者信息

Elfekih Hamza, Hadjkacem Faten, Elleuch Mouna, Ghorbel Dorra, Charfi Nadia, Mnif Fatma, Rekik Nabila, Mnif Mouna, Abid Mohamed

机构信息

Department of Endocrinology and Diabetology, Hedi Chaker University Hospital, Sfax, Tunisia.

出版信息

Iran J Allergy Asthma Immunol. 2019 Oct 23;18(5):572-583. doi: 10.18502/ijaai.v18i5.1927.

Abstract

Insulin therapy is an essential treatment for type 1 and uncontrolled type 2 diabetes mellitus (DM). Hypersensitivity reactions have been described since the first administration of insulin, the same as any other therapy. Despite being a rare situation nowadays, it requires careful intra-hospital monitoring and multidisciplinary management. Here, we present a case of a 57-year-old patient with type 2 DM, an average glycemic control, and both penicillin and insulin allergy. Heunderwent a desensitization protocol which allowed successfully dismiss him with intermediate-acting insulin.

摘要

胰岛素治疗是1型糖尿病和未控制的2型糖尿病(DM)的重要治疗方法。自首次使用胰岛素以来,就像任何其他治疗一样,已出现过敏反应的描述。尽管如今这种情况很少见,但仍需要在医院内进行仔细监测和多学科管理。在此,我们报告一例57岁的2型糖尿病患者,其血糖控制一般,同时对青霉素和胰岛素过敏。他接受了脱敏方案,最终成功停用了中效胰岛素。

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