4 岁女童食入镀镍硬币后出现全身性荨麻疹。
Generalised urticaria following ingestion of a nickel-plated coin in a 4-year-old girl.
机构信息
Division of General Surgery, McMaster University, Hamilton, Ontario, Canada.
Division of Pediatric Surgery, University of Rochester Medical Center, Rochester, New York, USA
出版信息
BMJ Case Rep. 2020 Sep 7;13(9):e234601. doi: 10.1136/bcr-2020-234601.
We report the case of a 4-year-old girl who presented to the emergency department after ingestion of a nickel-plated coin. Abdominal radiographs confirmed the presence of a coin in her stomach but she was otherwise asymptomatic. She was discharged with assurances that the foreign body would pass spontaneously. The patient developed significant generalised urticaria the next day, which became progressively more severe. Her symptoms prompted endoscopic removal of the nickel-plated coin and a postoperative course of corticosteroids and antihistamine therapy. This is the first reported case of generalised urticaria secondary to ingestion of a coin with nickel plating only (2% nickel content overall). A review of similar cases is provided.
我们报告了一例 4 岁女孩因吞食镀镍硬币而到急诊科就诊的病例。腹部 X 光片证实硬币在她的胃里，但她没有其他症状。她被出院，并保证异物会自行排出。第二天，患者出现明显的全身性荨麻疹，且病情逐渐加重。她的症状促使进行内镜下取出镀镍硬币，并在术后使用皮质类固醇和抗组胺药物治疗。这是首例因吞食仅镀镍（总镍含量为 2%）的硬币而导致全身性荨麻疹的报道病例。本文提供了类似病例的回顾。
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