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评估囊性纤维化儿科患者药物过敏的频率和特征。

Evaluation of Frequency and Characteristics of Drug Allergy in Pediatric Patients with Cystic Fibrosis.

机构信息

Department of Pediatric Allergy and Immunology, University of Health Sciences, Ankara Children's Hospital, Ankara City Hospital, Ankara, Turkey.

Department of Pediatric Pulmonology, University of Health Sciences, Ankara Children's Hospital, Ankara City Hospital, Ankara, Turkey.

出版信息

Pediatr Allergy Immunol Pulmonol. 2022 Jun;35(2):74-78. doi: 10.1089/ped.2021.0165. Epub 2022 May 18.

Abstract

Previous studies reported that the prevalence of drug allergy is higher in patients with cystic fibrosis (CF) than in the general population. It is important to exclude or confirm the drug allergy diagnosis with detailed allergic evaluation for preventing drug allergy overdiagnosis. Our study aims to determine the actual frequency of drug allergy proven by diagnostic tests in children with CF and to compare it with the control group. Patients diagnosed with CF who were followed up in the Pediatric Pulmonology Clinic were included in the study group. Children with similar gender and age characteristics who did not have any chronic diseases and who applied to the Pediatric Polyclinics were included in the control group. We reviewed the medical data of patients with CF. Also, we evaluated the parents of the patients via phone conversation and/or during the control of the outpatient clinic and questioned them in terms of drug allergy. In addition, we assessed those with suspected drug allergies in the pediatric allergy clinic for diagnostic tests and compared it to the control group. CF patients ( = 44) and control group ( = 100) were included in the study. Only 1 patient (2.2%) out of the 44 patients in the study group had a suspicion of drug-related hypersensitivity history. In the control group, 1 patient had a history of rash, provocation test was performed to rule out drug hypersensitivity reaction, and it was evaluated as a negative result. The result of our study showed that the frequency of drug allergy in children diagnosed with CF was not different from the control group. However, it will be useful to confirm the data of pediatric patients with CF in larger groups. In the presence of suspicion of drug allergy, a diagnostic evaluation can prevent unnecessary drug allergy diagnoses.

摘要

先前的研究报告称,囊性纤维化(CF)患者的药物过敏发生率高于普通人群。通过详细的过敏评估排除或确认药物过敏诊断对于防止药物过敏过度诊断非常重要。我们的研究旨在确定 CF 患儿经诊断性检查证实的药物过敏的实际频率,并与对照组进行比较。研究组纳入在儿科肺病学诊所接受随访的 CF 诊断患者。对照组纳入性别和年龄特征相似、无任何慢性疾病且向儿科综合医院门诊就诊的儿童。我们回顾了 CF 患者的病历。此外,我们通过电话交谈或在门诊控制期间对患者的家长进行评估,并询问他们药物过敏情况。此外,我们在儿科过敏诊所对疑似药物过敏的患者进行诊断性检查,并与对照组进行比较。研究纳入了 44 例 CF 患者(研究组)和 100 例对照组。研究组 44 例患者中仅有 1 例(2.2%)存在药物相关超敏反应史的可疑情况。对照组中,有 1 例患者有皮疹病史,进行了激发试验以排除药物过敏反应,评估结果为阴性。我们的研究结果表明,确诊 CF 的儿童的药物过敏发生率与对照组无差异。然而,在更大的儿童 CF 患者群体中确认这些数据将很有用。在存在药物过敏可疑的情况下,诊断评估可防止不必要的药物过敏诊断。

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