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Galvão Dos Santos de Araujo AC, Moura de Almeida L, Moura de Almeida AP, Fontenelle de Oliveira E, Carrijo Rochael M, Aires de Morais R, Rezende HD. Serum Sickness-Like Reaction: Drug-Induced Cutaneous Disease in a Child. Dermatol Pract Concept 2021; 11:e2021029. [PMID: 34413998 DOI: 10.5826/dpc.1103a29] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/22/2020] [Indexed: 10/31/2022] Open
Affiliation(s)
| | - Liana Moura de Almeida
- Álvaro Alvim School Hospital. Department of Dermatology. Campos dos Goytacazes, Rio de Janeiro, Brazil
| | | | - Elisa Fontenelle de Oliveira
- Fernandes Figueira Institute/FIOCRUZ. Department of Pediatric Dermatology. Rio de Janeiro, Rio de Janeiro, Brazil
| | - Mayra Carrijo Rochael
- Fluminense Federal University. Department of Pathology. Niterói, Rio de Janeiro, Brazil
| | | | - Hudson Dutra Rezende
- Álvaro Alvim School Hospital. Department of Dermatology. Campos dos Goytacazes, Rio de Janeiro, Brazil
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Mehrpour M, Motamed MR, Aghaei M, Badi Z. Retrosternal mass: An interesting allergic reaction to intravenous thrombolytic therapy for acute ischemic stroke. Iran J Neurol 2013; 12:114-6. [PMID: 24250917 PMCID: PMC3829293] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/20/2013] [Accepted: 05/21/2013] [Indexed: 11/03/2022]
Abstract
Stroke is an important cause of disability and death worldwide, with the majority of strokes occurring in older people. Thrombolysis with recombinant tissue plasminogen activator (r-TPA) is the approved treatment for acute ischemic stroke. A major concern of physicians, who treat acute ischemic stroke with recombinant tissue plasminogen activator (r-TPA,) is the risk of intracerebral hemorrhage. However, other adverse reactions, including anaphylaxis and angioedema, can also occur. Here we report an interesting soft tissue reaction to intravenous r-TPA in an 80 year-old male who was treated for acute ischemic stroke.
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Affiliation(s)
- Masoud Mehrpour
- Assistant Professor, Department of Neurology AND Firoozgar Hospital, Tehran University of Medical Sciences, Tehran, Iran
| | - Mohammad Reza Motamed
- Assistant Professor, Department of Neurology AND Firoozgar Hospital, Tehran University of Medical Sciences, Tehran, Iran
| | - Mahboubeh Aghaei
- Resident, Department of Neurology AND Firoozgar Hospital, Tehran University of Medical Sciences, Tehran, Iran
| | - Zahra Badi
- Resident, Department of Neurology AND Firoozgar Hospital, Tehran University of Medical Sciences, Tehran, Iran
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Affiliation(s)
- D A Levy
- Médecine Interne, Centre d'Allergie, Hôpital Rothschild, Paris, France
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Affiliation(s)
- B A Gbolade
- Department of Obstetrics & Gynaecology and Reproductive Healthcare, University of Manchester, United Kingdom
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5
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Latex allergy and contraception. Contracept Rep 1997; 8:1-2. [PMID: 12290348] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/19/2023]
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6
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The cervical cap. Patient Update 4. Contracept Rep 1996; 7:1-2. [PMID: 12347773] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/26/2023]
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van Gorkom J, Kibuga DK. Cost-effectiveness and total costs of three alternative strategies for the prevention and management of severe skin reactions attributable to thiacetazone in the treatment of Human Immunodeficiency Virus positive patients with tuberculosis in Kenya. Tuber Lung Dis 1996; 77:30-6. [PMID: 8733411 DOI: 10.1016/s0962-8479(96)90072-6] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
SETTING Severe skin reactions due to thiacetazone (T) in Human Immunodeficiency Virus (HIV) positive tuberculosis patients have been reported in several publications, one of them from Kenya. However, the abandoning of T may not be feasible in Kenya as this may increase the cost of drugs by about three-fold per regimen. OBJECTIVE To compare the cost-effectiveness and total cost of three strategies in which T is replaced with ethambutol (E). DESIGN Three strategies are compared with a baseline strategy in which T is not replaced. The indicator for cost-effectiveness is the cost-per-averted-death attributable to T. RESULTS Education of patients on the possibility of side-effects and replacement of T with E is the most cost-effective strategy at HIV prevalence rates of 1-90%. Abandonment of T and replacement with E is the most cost-effective at over 90% HIV prevalence. CONCLUSION In Kenya, education of patients on the possibility of skin reactions should be preferred at low range HIV prevalence rates. Routine HIV testing would be the most attractive strategy in the middle range, and total replacement of T with E is to be preferred in the higher range of HIV prevalence.
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Affiliation(s)
- J van Gorkom
- Ministry of Health, National Leprosy Tuberculosis Programme, Nairobi, Kenya
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Abstract
In this section, we review three broad topics in pediatrics: atopic disease, rhinitis and conjunctivitis, and upper respiratory tract infections. These topics comprise three of the most commonly encountered problems in pediatric practice. There have been significant contributions to the pediatric literature in each of these areas over the past year, and we review those of particular interest here. The papers that we have chosen to review were selected for both their scientific significance and practicality. Both review articles and original research are included, but all should be relevant to the care of your patients.
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Affiliation(s)
- R A Wood
- Johns Hopkins University School of Medicine, Department of Pediatrics, Baltimore, MD 21287-3216, USA
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Strom BL, Reidenberg MM, West S, Snyder ES, Freundlich B, Stolley PD. Shingles, allergies, family medical history, oral contraceptives, and other potential risk factors for systemic lupus erythematosus. Am J Epidemiol 1994; 140:632-42. [PMID: 7942763 DOI: 10.1093/oxfordjournals.aje.a117302] [Citation(s) in RCA: 47] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023] Open
Abstract
The authors undertook a case-control study to explore the many factors that have been postulated to be related to the etiology of systemic lupus erythematosus. A total of 195 cases of systemic lupus diagnosed in the Philadelphia, Pennsylvania, metropolitan area between 1985 and 1987 were compared with 143 controls, friends of the cases matched to them according to age (+/- 5 years) and sex. Through personal interviews and chart reviews, data were collected on demographic factors, personal and familial medical history, reproductive history, medication history, and environmental exposures. Associations were found between systemic lupus erythematosus and having a family history of autoimmune disease (age-, sex-, and race-adjusted odds ratio (OR) = 2.3, 95% confidence interval (CI) 1.2-4.6), a history of shingles (adjusted OR = 6.4, 95% CI 1.4-28.0), a history of hives (adjusted OR = 1.8, 95% CI 1.1-3.0), and a history of medication allergies (adjusted OR = 2.6, 95% CI 1.5-4.5). No association was present between systemic lupus erythematosus and either any use or recent use of oral contraceptives (e.g., OR = 0.6 (95% CI 0.2-1.4) for use in the 3 years prior to diagnosis), family history of multiple other diseases, or a history of numerous other infections or various other types of allergies. Thus, these data indicate that systemic lupus erythematosus is associated with a family history of autoimmune diseases, a history of shingles, and a history of allergies. In contrast, if the development of systemic lupus is affected by use of oral contraceptives, this effect must be extremely modest. These findings may help clarify the possible pathogenesis of systemic lupus erythematosus, and they provide clues as to when the presence of systemic lupus should be suspected.
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Affiliation(s)
- B L Strom
- Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania School of Medicine, Philadelphia 19104-6095
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Fisher AA. Management of "consort dermatitis" due to combined allergy: seminal fluid and latex condoms. Cutis 1994; 54:66-7. [PMID: 7956337] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
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Wootton G. Contraception. Risk cover. Nurs Times 1994; 90:58-9. [PMID: 8047444] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
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Merino G, Murrieta S, Sandoval C. HIV infections / preventative medicine: condoms / spermicide agents. Adv Contracept Deliv Syst 1994; 10:387-9. [PMID: 12287846] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/19/2023]
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13
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Hamann CP, Kick SA. Update: immediate and delayed hypersensitivity to natural rubber latex. Cutis 1993; 52:307-11. [PMID: 8299394] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
Abstract
Hypersensitivity to natural rubber latex, an ingredient of many medical devices and consumer products, appears to be increasing. Chemical additives induce T-cell mediated type IV delayed reactions while proteins that occur naturally in latex elicit antibody-mediated type I immediate reactions. The latter can be fatal. The clinical manifestations of these reactions, the risk factors for developing latex hypersensitivity, and diagnostic options are reviewed. The only reliable management strategy is allergen avoidance. Therefore, factors that can affect the levels of both type I and type II allergens in products are discussed.
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Affiliation(s)
- C P Hamann
- Department of Clinical Research, SmartPractice, Phoenix, Arizona 85008
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First plastic condom for men becomes available next year. Contracept Technol Update 1993; 14:156-7. [PMID: 12286906] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/19/2023]
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Hatcher RA, Schnare S. Ask the experts: progestin-only contraceptives. Contracept Technol Update 1993; 14:114-5. [PMID: 12286999] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/19/2023]
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Affiliation(s)
- A J Bircher
- Department of Dermatology, University Hospital, Basel, Switzerland
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Dukes CS, Sugarman J, Cegielski JP, Lallinger GJ, Mwakyusa DH. Severe cutaneous hypersensitivity reactions during treatment of tuberculosis in patients with HIV infection in Tanzania. Trop Geogr Med 1992; 44:308-11. [PMID: 1284179] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
Concurrent infection with HIV-1 and Mycobacterium tuberculosis is increasingly common in East Africa. In the past, a drug regimen consisting of 2 months of intramuscular streptomycin plus 12 months of isoniazid and thiacetazone has been used in tuberculosis control programs with acceptable efficacy and low incidence of adverse reactions. Anecdotal reports of increasing cases of Stevens-Johnson syndrome prompted a 2 month prospective search for cases of severe cutaneous hypersensitivity reactions at Muhimbili Medical Centre in Dar es Salaam, Tanzania. Five such patients were admitted to a single ward during this time, 4 of whom were HIV-seropositive and all of whom were being treated with isoniazid and thiacetazone. These findings have implications for the management of tuberculosis in East Africa and perhaps other countries with high prevalence of both HIV-1 and tuberculosis.
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Affiliation(s)
- C S Dukes
- Department of Medicine, Duke University, Medical Center, Durham, North Carolina
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Affiliation(s)
- G Machiels
- Department of Medicine, University of Zambia Medical School, Lusaka
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Erinoso HO, Hoare S, Spencer S, Lunn PG, Weaver LT. Is cow's milk suitable for the dietary supplementation of rural Gambian children? 1. Prevalence of lactose maldigestion. Ann Trop Paediatr 1992; 12:359-65. [PMID: 1283664 DOI: 10.1080/02724936.1992.11747600] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
To define the age-related prevalence of lactose maldigestion (LM), 218 children aged 13-72 months from a rural Gambian village were studied using a lactose breath hydrogen test. There was a significant rise in LM from 21% to 76% between the 2nd and 3rd-5th years of life (p < 0.001). Only eight children had diarrhoea within 2 weeks before the test. Diarrhoea and abdominal discomfort followed in only seven children (3%). There was no difference in mean time of introduction of supplementary diet or cessation of breastfeeding between children aged 12-36 months with lactose digestion and LM. There was a greater proportion of children with normal lactose digestion than with LM in those still receiving breast milk (85% vs 15%), and a greater proportion of LM in the fully weaned group (63% vs 37%) (p < 0.001). There was no relation between weight-for-age or weight-for-height and the ability to digest lactose. The ability to digest lactose is lost in the majority of children during the 2nd year, coincident with the cessation of breastfeeding, but is not a major factor associated with growth failure thereafter.
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Erinoso HO, Hoare S, Weaver LT. Is cow's milk suitable for the dietary supplementation of rural Gambian children? 2. Patterns of cow's milk intake. Ann Trop Paediatr 1992; 12:367-73. [PMID: 1283665 DOI: 10.1080/02724936.1992.11747601] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
Cow's milk has been advocated as a source of supplementary diet for children in many parts of the developing world. The frequency and forms of cow's milk intake and the factors regulating its availability and consumption by 507 children aged up to 6 years in three Gambian villages were measured. Nineteen per cent of mothers did not give cow's milk to their children. Of 413 children taking cow's milk, 41% consumed it only once a week, 32% two to four times a week, 19% once a day and 8% more than once a day. Eighty per cent of children took both fresh and sour milk. Forty-one per cent of infants up to 1 year old received cow's milk at some time. There was a decrease with age in the proportion of children taking fresh milk and a rise with age in the proportion taking sour milk alone (p < 0.001) and both forms of milk. Only 2% of children were reported to have an adverse reaction to fresh cow's milk. The main factors affecting intake were the availability of money and milk. The consumption of cow's milk in early life is common and free of adverse effects. When it is available, it should be used to supplement the diet of the weaned child.
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Abstract
Reports of allergy to latex have been increasingly frequent during the last few years. The culprit is the natural Hevea Brasiliensis latex which is present in numerous latex-containing materials for daily use. Clinical manifestations are usually benign. Systemic manifestations have been reported mainly in general anaesthesia. We report a case of severe anaphylactic manifestations that occurred during a condom-protected sexual intercourse. The responsibility of latex for this accident was demonstrated by skin and biological tests.
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Affiliation(s)
- M Espin
- Service de Pneumologie et Allergologie, CHU Rangueil, Toulouse
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Roopnarinesingh S, Ramoutar P, Bassaw B. Maternal mortality at Mount Hope Women's Hospital, Trinidad. W INDIAN MED J 1991; 40:139-41. [PMID: 1957523] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
A ten-year survey of the magnitude and causes of obstetrical deaths at Mount Hope revealed a maternal mortality rate of 33.3 per 100,000 live births. The leading causes of death were the hypertensive disorders, and the most common identifiable factors were inadequate antenatal care and substandard clinical management.
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Liu SL. [Primary study on safety of trichosanthin combined with reserpine and testosterone propionate for termination of early and middle stage pregnancy: a clinical report of 7754 cases]. Shengzhi Yu Biyun 1991; 11:46-50. [PMID: 12343704] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/26/2023]
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Abstract
Acute systemic hypersensitivity reactions to semen are rare but may be life-threatening. Chronic or recurrent local reactions are more common and may be misdiagnosed as infective or nonspecific vaginitis. The antigen(s) involved in these reactions reside in a glycoprotein fraction of seminal plasma. Allergic vulvovaginitis may also occur in sensitized women when they are exposed to exogenous allergens such as drugs, food and infective agents during sexual activity. Skin testing and other relevant investigations are indicated when these disorders are suspected. Condom usage will prevent symptoms of coital allergy. Desensitization has had variable success in acute systemic hypersensitivity. Precoital antihistamines may modify local reactions.
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Affiliation(s)
- W R Jones
- Department of Obstetrics and Gynaecology, Flinders Medical Centre, Adelaide, Bedford Park, South Australia
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