麻醉诱导后发生严重过敏性休克：Churg-Strauss 综合征的一种不常见首发表现。
Severe anaphylactic shock after anesthesia induction: An unusual initial manifestation of Churg-Strauss syndrome.
机构信息
1st Department of Anesthesiology, Aretaieion University Hospital, Athens, Greece.
出版信息
Int J Immunopathol Pharmacol. 2020 Jan-Dec;34:2058738420980260. doi: 10.1177/2058738420980260.
Abstract
Churg-Strauss syndrome or eosinophilic granulomatosis with polyangiitits (EGPA) is a rare multisystem disorder. A case of anaphylactic shock after induction of anesthesia, as the initial clinical presentation of Churg-Strauss syndrome in a 15-year-old girl is reported. It is extremely rare to see pediatric patients with previous perioperative anaphylaxis receiving future anesthesia; a multidisciplinary approach including allergist, rheumatologist, anesthesiologist, and surgeon is necessary in order to provide a better future anesthetic plan.
摘要
变应性肉芽肿性血管炎或嗜酸性粒细胞性肉芽肿性多血管炎（EGPA）是一种罕见的多系统疾病。本文报告了一例 15 岁女孩麻醉诱导后发生过敏性休克，为变应性肉芽肿性血管炎的初始临床表现。在既往围手术期过敏的儿科患者中，再次接受麻醉极为罕见；为了提供更好的未来麻醉计划，需要包括过敏科医生、风湿病学家、麻醉师和外科医生在内的多学科方法。
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本文引用的文献
1
Pediatric Patients with Previous Anaphylactic Reactions to General Anesthesia: a Review of Literature, Case Report, and Anesthetic Considerations.
Curr Allergy Asthma Rep. 2020 Apr 22;20(6):15. doi: 10.1007/s11882-020-00911-x.
2
Eosinophilic Granulomatosis with Polyangiitis (Churg-Strauss).
Semin Respir Crit Care Med. 2018 Aug;39(4):471-481. doi: 10.1055/s-0038-1669454. Epub 2018 Nov 7.
3
Eosinophilic granulomatosis with polyangiitis (Churg-Strauss vasculitis) presenting as Samter's triad.
J Allergy Clin Immunol Pract. 2018 Jan-Feb;6(1):280-282. doi: 10.1016/j.jaip.2017.07.006. Epub 2017 Aug 30.
4
IgE-Related Chronic Diseases and Anti-IgE-Based Treatments.
J Immunol Res. 2016;2016:8163803. doi: 10.1155/2016/8163803. Epub 2016 Dec 21.
5
Respiratory manifestations of eosinophilic granulomatosis with polyangiitis (Churg-Strauss).
Eur Respir J. 2016 Nov;48(5):1429-1441. doi: 10.1183/13993003.00097-2016. Epub 2016 Sep 1.
6
Eosinophilic granulomatosis with polyangiitis (formerly Churg-Strauss syndrome): where are we now?
Eur Respir J. 2015 Nov;46(5):1255-8. doi: 10.1183/13993003.00963-2015.
7
Eosinophilic granulomatosis with polyangiitis (Churg-Strauss syndrome) presenting as diffuse myositis.
BMC Musculoskelet Disord. 2014 Nov 21;15:388. doi: 10.1186/1471-2474-15-388.
8
Selective IgA deficiency mimicking Churg-Strauss syndrome and hypereosinophilic syndrome: a case report.
Nagoya J Med Sci. 2013 Feb;75(1-2):139-46.
9
Eosinophilic granulomatosis with polyangiitis (Churg-Strauss): clinical characteristics and long-term followup of the 383 patients enrolled in the French Vasculitis Study Group cohort.
Arthritis Rheum. 2013 Jan;65(1):270-81. doi: 10.1002/art.37721.
10
Churg-Strauss syndrome: a rare systemic vasculitis.
J Coll Physicians Surg Pak. 2010 Nov;20(11):757-9.
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