Triamcinolone and Dexamethasone Hypersensitivity: A Pediatric Case Report.

IF 1.2 4区 医学 Q3 DERMATOLOGY
Merve Karaca Şahin, Muhammed Fatih Erbay, Hamit Bologur, Nilay Çalışkan, Güler Yıldırım, Deniz Ozceker
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引用次数: 0

Abstract

Although corticosteroids are frequently used locally and systemically for their anti-inflammatory and immunosuppressive effects, hypersensitivity is rare. In our case, a 16-year-old girl experienced anaphylaxis after injection of triamcinolone acetonide. The diagnosis of an IgE-mediated allergy to triamcinolone acetonide was confirmed through intradermal testing. Intradermal tests and drug provocation tests were performed against other corticosteroids, but only the provocation test with dexamethasone resulted in delayed urticaria. This case indicates the potential for different types of hypersensitivity reactions to both triamcinolone and dexamethasone. Consequently, the importance of a comprehensive allergic evaluation with other corticosteroids is emphasized when a corticosteroid allergy is suspected.

曲安奈德和地塞米松过敏:一个儿科病例报告。
虽然皮质类固醇因其抗炎和免疫抑制作用经常在局部和全身使用,但过敏是罕见的。在我们的病例中,一名16岁的女孩在注射曲安奈德后出现了过敏反应。诊断为ige介导的曲安奈德过敏是通过皮内试验证实。对其他皮质类固醇进行皮内试验和药物激发试验,但只有地塞米松的激发试验导致延迟性荨麻疹。本病例提示对曲安奈德和地塞米松可能存在不同类型的超敏反应。因此,当怀疑有皮质类固醇过敏时,应强调与其他皮质类固醇进行全面过敏评估的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Pediatric Dermatology
Pediatric Dermatology 医学-皮肤病学
CiteScore
3.20
自引率
6.70%
发文量
269
审稿时长
1 months
期刊介绍: Pediatric Dermatology answers the need for new ideas and strategies for today''s pediatrician or dermatologist. As a teaching vehicle, the Journal is still unsurpassed and it will continue to present the latest on topics such as hemangiomas, atopic dermatitis, rare and unusual presentations of childhood diseases, neonatal medicine, and therapeutic advances. As important progress is made in any area involving infants and children, Pediatric Dermatology is there to publish the findings.
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