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Ventura MT, Sanapo F, Calogiuri GF, Satriano F. Anaphylaxis Induced by Intramuscular Betamethasone Disodium Phosphate: Reflections on a Clinical Case. Int J Immunopathol Pharmacol 2016; 20:387-91. [PMID: 17624252 DOI: 10.1177/039463200702000220] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Glucocorticoids could be responsible for allergic symptoms correlated to an Ig-E mediated hypersensitivity mechanism. We describe the case of an anaphylactic reaction in a professional nurse, occurring after an intramuscular administration of Betamethasone. After performing skin prick tests, intramuscular tests and patch tests we concluded that the patient had Ig-E mediated sensitization. She was prescribed oral Prednisone and Deflazacort and shows good tolerance of these drugs. This demonstrates that in these patients it is possible to administrate glucocorticoids without the changes in the sites indicated by Wilkinson. Nevertheless, our patient showed a negative allergy test for Dexamethasone disodium phosphate, and in those patients sensitized to fluorinated glucocorticoids, tolerance to other glucocorticoids is not so easily predictable as in patients with hypersensitivity to first generation steroids or in corticosteroid contact dermatitis, according to the four patterns of cross-reactivity proposed by Coopman and Dooms-Goossens.
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Affiliation(s)
- M T Ventura
- Cattedra di Allergologia ed Immunologia Clinica, Università degli Studi di Bari, Italy.
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Bianchi L, Hansel K, Antonelli E, Bellini V, Rigano L, Stingeni L. Deflazacort hypersensitivity: a difficult-to-manage case of systemic allergic dermatitis and literature review. Contact Dermatitis 2016; 75:54-6. [DOI: 10.1111/cod.12555] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2016] [Accepted: 01/21/2016] [Indexed: 11/28/2022]
Affiliation(s)
- Leonardo Bianchi
- Section of Clinical, Allergological and Venereological Dermatology, Department of Medicine; University of Perugia; Perugia 06156 Italy
| | - Katharina Hansel
- Section of Clinical, Allergological and Venereological Dermatology, Department of Medicine; University of Perugia; Perugia 06156 Italy
| | - Elettra Antonelli
- Section of Clinical, Allergological and Venereological Dermatology, Department of Medicine; University of Perugia; Perugia 06156 Italy
| | - Veronica Bellini
- Section of Clinical, Allergological and Venereological Dermatology, Department of Medicine; University of Perugia; Perugia 06156 Italy
| | - Luigi Rigano
- R&D Department; Institute of Skin and Product Evaluation; Milano 20125 Italy
| | - Luca Stingeni
- Section of Clinical, Allergological and Venereological Dermatology, Department of Medicine; University of Perugia; Perugia 06156 Italy
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Baeck M, Goossens AN. Patients with airborne sensitization/contact dermatitis from budesonide-containing aerosols ‘by proxy’. Contact Dermatitis 2009; 61:1-8. [DOI: 10.1111/j.1600-0536.2009.01575.x] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Current awareness: Pharmacoepidemiology and drug safety. Pharmacoepidemiol Drug Saf 2006. [DOI: 10.1002/pds.1174] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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