Successful Finding of Local Anesthetics for a Girl with Local Lidocaine Anaphylaxis

A 16-year-old-girl with a past medical history of lidocaine anaphylaxis requested an allergy test to find a local anesthetic (LA) agent with no adverse allergic reactions for her ingrown toenail treatment. A skin prick test (SPT) and intradermal test were administered using lidocaine, procaine, bupivacaine, mepivacaine and ropivacaine. All LA agents used in the SPT showed negative result. An intradermal test was then administered and lidocaine, procaine, bupivacaine, and mepivacaine showed positive results while ropivacaine showed negative results. Based on these results, a subcutaneous challenge with ropivicaine was performed showing no local or systemic symptoms. The next day the girl was discharged and her ingrown toenail was successfully treated with ropivicaine with no adverse reactions or symptoms. All physicians should be aware of the risk of local anesthetics and consider the possibility of cross-reactivities within both the ester and amide group to prevent any adverse allergic reactions. *Corresponding author: So-Yeon Lee, M.D., PhD., Department of pediatrics, Hallym University Sacred Heart Hospital, 896, Pyeongchon-dong, Dongan-gu, Anyang, Gyeonggi-do, 431-070, Korea, Tel: +82-31-380-3730; Fax: +82-31-3803733; E-mail: [email protected] Received May 08, 2013; Accepted May 24, 2013; Published May 30, 2013 Citation: Hwangbo JW, Lee HR, Lee SY (2013) Successful Finding of Local Anesthetics for a Girl with Local Lidocaine Anaphylaxis. Pediat Therapeut 3: 143. doi:10.4172/2161-0665.1000143 Copyright: © 2013 Hwangbo JW, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.