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过敏反应特殊病例的经验教训:为何过敏症专科医生应做好应对意外情况的准备。

Lessons from peculiar cases of anaphylaxis: why allergists should be prepared for the unexpected.

作者信息

Liccardi G, Milanese M, Bilò M B, Martini M, Liccardi M V, Gargano D, Giordano A, Habetswallner F, Lo Schiavo M, Madonna F, Montera M C, Pane G, Papa A, Pedicini A, Rogliani P

机构信息

Postgraduate School of Respiratory Medicine, Department of Experimental Medicine, University of Rome Tor Vergata, Rome, Italy.

Division of Pulmonology, S. Corona Hospital, Pietra Ligure, Italy.

出版信息

Eur Ann Allergy Clin Immunol. 2022 May;54(3):99-106. doi: 10.23822/EurAnnACI.1764-1489.198. Epub 2021 Apr 15.

DOI:10.23822/EurAnnACI.1764-1489.198
PMID:33939345
Abstract

Anaphylaxis is the most severe systemic hypersensitivity reaction, it can be caused by a number of well identified triggers such as foods, drugs, stinging insects and facilitated by predisposing clinical conditions. However, sometimes anaphylaxis shows up with uncommon or peculiar characteristics which could delay diagnosis and therapeutic treatment. In this report we aimed to describe less accounted / difficult-to-approach shapes of anaphylaxis to facilitate clinicians to suspect these severe reactions even in uncommon conditions. We choose to present data on anaphylaxis regarding simulation, mode of exposure to sensitizing agents, pregnancy, exposure to animals, intimate behaviour, psychological stress and other situations.

摘要

过敏反应是最严重的全身性超敏反应,它可由多种明确的触发因素引起,如食物、药物、叮咬昆虫,并因易感临床状况而加重。然而,有时过敏反应会表现出不常见或特殊的特征,这可能会延迟诊断和治疗。在本报告中,我们旨在描述较少被提及/难以处理的过敏反应形式,以便临床医生即使在不常见的情况下也能怀疑这些严重反应。我们选择展示有关过敏反应在模拟、致敏剂接触方式、妊娠、动物接触、亲密行为、心理压力及其他情况方面的数据。

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