车前子壳（Metamucil®）诱发常年性哮喘：病例报告

IF 0.8 Q4 RESPIRATORY SYSTEM

Respiratory Medicine Case Reports Pub Date : 2024-01-01 DOI:10.1016/j.rmcr.2024.102110

A.S. Marwaha , D. Cockcroft , B. Philipenko

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引用次数: 0

摘要

Metamucil® 是一种用于治疗便秘的可溶性纤维补充剂，一名 44 岁的过敏护士在一次吸入接触后引发了新发哮喘症状。初次接触后，她没有再接触过。她一直面临着病情加重、哮喘控制不佳和慢性咳嗽的挑战。尽管经过 30 年的门诊随访，她的哮喘仍然难以控制，需要长期服用强的松。在逐渐停用皮质类固醇的同时，她患上了多发性风湿性关节炎。本病例强调，即使只吸入一次美他美®中的车前子，也会引起轻微到严重的反应，因此没有哮喘病史的人需要谨慎使用。

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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Psyllium husk (Metamucil®) induced perennial asthma: A case report

Metamucil®, a soluble fiber supplement for constipation, triggered new onset asthma symptoms in a 44-year-old sensitised nurse after a single inhaled exposure. After the initial event, she had no further exposures. She continued to face challenges with exacerbations, poor asthma control, and chronic cough. Despite 30 years of clinic follow-up, her asthma remained difficult to manage, requiring chronic prednisone. While tapering off corticosteroids, she developed polymyalgia rheumatica. This case underscores that psyllium in Metamucil® can cause reactions ranging from mild to severe, even with a single inhaled exposure, emphasising the need for caution in those without a history of asthma.

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