Nadia Karina Aguilar Hinojosa, Evelyn Itzamara Figueroa Saavedra
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Abstract

Background: Deferasirox is an active iron chelator, used in the treatment of iron overload such as hemochromatosis. Up to 28% may present adverse reactions to said drug. A desensitization protocol for this drug may be useful when there are no other therapeutic options.

Case report: A 52-year-old female with a diagnosis of hemochromatosis who began treatment with phlebotomy, poor response and tolerance, so it was decided to treat with deferasirox 500 mg daily, presenting symptoms of urticaria and angioedema on the third dose. Hospitalization was decided for a desensitization protocol with an initial dose of 0.6mg with a gradual increase in the dose, reaching a maintenance dose of 500 mg per day on the third day.

Conclusions: The rapid desensitization protocol for Deferasirox is useful when there is no response or therapeutic alternative.

背景:去甲罗克斯是一种活性铁螯合剂,用于治疗铁过载如血色素沉着症。高达28%的患者可能对所述药物产生不良反应。当没有其他治疗选择时,这种药物的脱敏方案可能有用。病例报告:一名52岁女性,诊断为血色素沉着症,开始接受静脉切开术治疗,反应不佳,耐受性差,因此决定每天服用500 mg去铁,第三次给药时出现荨麻疹和血管性水肿症状。根据脱敏方案决定住院治疗,初始剂量为0.6mg,剂量逐渐增加,第三天达到每天500mg的维持剂量。结论:当没有反应或治疗选择时,去甲罗克斯的快速脱敏方案是有用的。
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