The patient with allergy to local anesthetics and with underlying allergies – a case report
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Abstract
Local anesthetics are used in many branches of medicine – especially in dentistry, dermatology and surgery they allow to carry out many procedures without the need for general anaesthesia. Chemically, local anaesthetics belong to the group of amide or esters, and incidentally may cause adverse reactions of various types and severity, but they are well-tolerated in the vast majority of patients. Possible adverse reactions after use of the local anesthetic are associated usually with intravenous administration, use toxic doses, hypersensitivity reactions or psychogenic reaction. In spite of their widespread use, true, IgE-related hypersensitivity reactions to drugs from this group are found very infrequent (< 1%) and may be the type I or type IV hypersensitivity reactions according to Gell and Coombs classification. The skin prick tests and intradermal tests with possible the full dose challenge are used in the diagnostics of allergy to local anesthetics. Below we report a 45-years-old female suffering from the allergic bronchial asthma, admitted to The Department of Internal Medicine, Geriatrics and Allergology, Medical University in Wroclaw, in which after carry out the extensive diagnostics procedures co-occurrence of allergy to local anesthetics drugs, hypersensitivity to aspirin and seasonal pollinosis were diagnosed.
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Address reprint requests to: Medical Education, Marcin Kuźma (marcin.kuzma@mededu.pl)
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