Tokarska L, Dziatkowiak H, Nizankowska E
Zespołu Diabetologii Kliniki Endokrynologii Dzieci, Młodziezy Polsko-Amerykańskiego Instytutu Pediatrii AM, Krakowie.
Pol Tyg Lek. 1994;49(1-3):39-42.
Allergic reactions to insulin have been noted within a few years following the completion of therapy. Allergy to insulin may be manifested by discrete local skin reactions (the majority of diabetics) or generalized reaction (rarely). Allergy to insulin may be produced by: immunogenicity of the commercial animal insulin preparations, low purity of insulins, different pattern of therapy with insulin, and genetic factors. The treatment of allergy to insulin consists of a proper injection technique and optimum choice of insulin preparation. In case of generalized allergic reactions desensitization is a therapy of choice. Antihistamine agents and corticosteroids may be helpful in some cases.
在治疗结束后的几年内已注意到对胰岛素的过敏反应。对胰岛素的过敏可能表现为离散的局部皮肤反应(大多数糖尿病患者)或全身性反应(很少见)。对胰岛素的过敏可能由以下因素引起:商业动物胰岛素制剂的免疫原性、胰岛素纯度低、胰岛素治疗模式不同以及遗传因素。胰岛素过敏的治疗包括适当的注射技术和胰岛素制剂的最佳选择。对于全身性过敏反应,脱敏是首选治疗方法。在某些情况下,抗组胺药和皮质类固醇可能会有所帮助。