维生素B12过敏症:一个回顾性多中心研究
Fatema-Zahra El Rhermoul1, Amina Mustafa1, Annette Wagner1
1Department of Adult Allergy, Guy's and St Thomas' Hospital, London, United Kingdom.
The journal of allergy and clinical immunology. In practice
|October 28, 2023
概括
维生素B12过敏是罕见的,但及时诊断至关重要. 这项研究提出了一种诊断途径,包括皮肤测试和考虑聚乙烯糖醇过敏,以准确评估维生素B12过敏症.
科学领域:
- 过敏和免疫学 过敏和免疫学
- 药理学 药理学是指药理学的学科.
- 皮肤病学 皮肤病学
背景情况:
- 维生素B12缺乏在老年人中很常见,如果不治疗,可能会导致严重的健康问题.
- 维生素B12过敏 (VB12H) 是一个未被认可的疾病,需要特定的诊断方法.
研究的目的:
- 为了调查一组怀疑维生素B12过敏症的患者.
- 为了建立VB12H的诊断途径.
主要方法:
- 进行了皮肤刺伤和皮肤内检测,使用可胺和可胺.
- 对皮肤测试阴性患者进行了药物诱导测试 (DPT).
- 评估包括对聚乙烯糖醇 (PEG) 过敏的评估.
主要成果:
- 在29名患者中,18人 (62%) 立即出现VB12H,其中8人经历过敏反应.
- 七名患者在初始敏感化后容忍了另一种维生素B12配方.
- 一名患者对口服科巴胺中的PEG产生反应;也观察到延迟反应.
结论:
- 已确认的维生素B12过敏症是罕见的.
- 建议制定一个全面的评估方案,包括维生素B12皮肤测试和PEG过敏评估.
- 这一途径有助于准确诊断VB12H.
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