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儿童药物过敏:皮肤检测后的不良反应
Cagla Karavaizoglu1, Ayse Suleyman2, Roza Yavuz Alıc3
1Division of Pediatric Allergy and Immunology, Department of Pediatrics, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey, caglakaravaizoglu@hotmail.com.
International archives of allergy and immunology
|September 20, 2023
概括
儿童对药物过敏皮肤测试的不良反应很少见,但可能会发生像过敏反应这样的严重过敏反应. 这些测试通常在经验丰富的临床环境中进行时是安全的.
科学领域:
- 儿科过敏和免疫学
- 临床诊断 临床诊断 临床诊断
背景情况:
- 皮肤检测是诊断儿童药物过敏的主要方法.
- 有限的数据存在于特定于接受药物皮肤测试的儿科患者群体的不良反应.
研究的目的:
- 在怀疑药物过敏的儿童中进行药物皮肤测试后调查不良反应的发生率和类型.
主要方法:
- 在2017年5月至2020年6月期间接受药物皮肤测试的1,073名儿童 (平均年龄7.5岁) 的回顾性分析.
- 在皮肤测试后在诊所观察到的不良反应的评估.
主要成果:
- 总体而言,1.1%的患者出现了不良反应,其中0.4%是过敏反应 (3例过敏反应,1例疹).
- 严重的过敏反应,包括过敏反应,发生在少数病例中.
- 非过敏反应包括血管和焦虑相关的反应.
结论:
- 药物皮肤测试在儿童中通常耐受良好,不良事件的发生率很低.
- 严重的过敏反应,如过敏反应,是可能的,需要仔细监测.
- 药物皮肤试验的执行应仅限于经验丰富的临床中心,并有适当的应急准备.
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