Biphasic anaphylactic reaction to blue dye during sentinel lymph node biopsy

نویسندگان

  • Margaret I Liang
  • William E Carson
چکیده

BACKGROUND Lymphazurin 1% blue dye can cause a severe anaphylactic reaction in approximately 1-3% of patients. CASE PRESENTATION We describe a case of intraoperative anaphylaxis resulting from Lymphazurin 1% blue dye. A 48-year old woman undergoing a mastectomy with sentinel lymph node biopsy experienced a biphasic anaphylactic reaction with two episodes of hypotension at 15 minutes and 2 hours, respectively, after injection of the blue dye. The late phase was initially refractory to epinephrine. CONCLUSION Early recognition, aggressive hemodynamic management, and prolonged monitoring are indicated in these patients to watch for a potential second phase anaphylactic reaction.

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عنوان ژورنال:
  • World Journal of Surgical Oncology

دوره 6  شماره 

صفحات  -

تاریخ انتشار 2008