Delayed-type hypersensitivity to amide local anesthetics.
نویسندگان
چکیده
We present a 54-year-old woman who suffered eczematous eruptions on her face after the administration of lidocaine and mepivacaine for dental surgeries. Patch tests showed delayed-type-hypersensitivity to the amide local anesthetics lidocaine and mepivacaine with cross reaction to other amynoacylderivatives (prilocaine,bupivacaine) but not articaine.
منابع مشابه
Immediate- and delayed-type allergic reactions to amide local anesthetics: clinical features and skin testing.
PURPOSE Amide type local anesthetic agents are among the most commonly used drugs in medicine. Several adverse drug reactions (ADRs) have been previously described with their use. Among them, allergic reactions are considered rare. The aim of this study was to describe the main characteristics of ADRs induced by amide type local anesthetic drugs. METHODS We studied reports recorded in the Fre...
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Ropivacaine, introduced in 1995, is an amide-type local anaesthetic. It consists of pure optical S-(-)-isomers and has a low cardiotoxicity. We report delayed hypersensitivity reactions to ropivacaine. A 74 year old man with postherpetic neuralgia started taking amitriptyline, alprazolam, and loxoprofen and underwent an epidural block with 0.2% ropivacaine hydrochloride without preservatives (4...
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Adverse reactions to local anesthetics (LA) are commonly reported in patients undergoing dental procedures and other minor surgical procedures. Most of these reactions, however, originate from psychosomatic, vasovagal or toxic conditions and are not immune-mediated. True immune-mediated reactions are considered extremely rare and are estimated to account for less than 1% of all adverse reaction...
متن کاملAllergy to lidocaine injections: comparison of patient history with skin testing in five patients
INTRODUCTION True allergy to local anesthetics, especially lidocaine, is uncommon. Most adverse reactions to this group of medications are classified as psychomotor, autonomic or toxic. In the case of suspected hypersensitivity to local anesthetics, skin testing is considered to be a useful tool - patch tests and intradermal tests for delayed hypersensitivity and skin prick tests and intraderma...
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ورودعنوان ژورنال:
- Allergologia et immunopathologia
دوره 32 4 شماره
صفحات -
تاریخ انتشار 2004