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[两名洗必泰过敏患者——过敏反应和湿疹]

[Two patients with chlorhexidine allergy--anaphylactic reactions and eczema].

作者信息

Thune P

机构信息

Romeriksklinikken, Strømmen.

出版信息

Tidsskr Nor Laegeforen. 1998 Sep 10;118(21):3295-6.

PMID:9772819
Abstract

A 14 year-old girl experienced a combined delayed and immediate type of allergy to chlorhexidine. She first developed an eczematous reaction in the face following the long-term application of an antiacne preparation. Use test (repeated Open Application Test, ROAT) on the forearm was positive. Epicutaneous tests with 1% chlorhexidine gluconate and acetate were both positive. About six months later she developed an urticarial rash and syncope after cleansing the skin with chlorhexidine gluconate. Prick tests were positive to 0.05% chlorhexidine gluconate and to 0.01% of the acetate solution. A 30 year-old man developed anaphylactic symptoms following treatment with an antiseptic dental gel containing 1% chlorhexidine gluconate. Prick test was positive to the gel and to chlorhexidine gluconate 0.5%.

摘要

一名14岁女孩对洗必泰出现了迟发型和速发型混合过敏反应。她在长期使用一种抗痤疮制剂后,面部首先出现了湿疹样反应。在前臂进行的使用测试(重复开放应用测试,ROAT)呈阳性。用1%葡萄糖酸氯己定和醋酸氯己定进行的皮肤试验均为阳性。大约六个月后,她在用葡萄糖酸氯己定清洁皮肤后出现了荨麻疹皮疹和晕厥。点刺试验对0.05%葡萄糖酸氯己定和0.01%醋酸溶液呈阳性。一名30岁男子在使用含1%葡萄糖酸氯己定的抗菌牙科凝胶治疗后出现过敏症状。点刺试验对该凝胶和0.5%葡萄糖酸氯己定呈阳性。

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[Two patients with chlorhexidine allergy--anaphylactic reactions and eczema].[两名洗必泰过敏患者——过敏反应和湿疹]
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Symptoms of immediate chlorhexidine hypersensitivity in patients with a positive prick test.点刺试验阳性患者的洗必泰速发型超敏反应症状。
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Allergic skin disease: investigation of both immediate- and delayed-type hypersensitivity is essential.过敏性皮肤病:对速发型和迟发型超敏反应的检测均至关重要。
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IgE-mediated allergy to chlorhexidine.对氯己定的IgE介导的过敏反应。
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