Anaphylaxie auf dem Zahnarztstuhl – eine ungewöhnliche Manifestation einer Kontakturtikaria
| Autor: | H. Löffler, N. Stutz, M. Hertl |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
medicine.medical_specialty
Respiratory distress business.industry Root canal Positive reaction Patch test Dermatology Epoxy medicine.disease_cause medicine.disease Surgery medicine.anatomical_structure Allergen visual_art medicine visual_art.visual_art_medium Swelling medicine.symptom business Contact dermatitis |
| Zdroj: | Aktuelle Dermatologie. 34:380-383 |
| ISSN: | 1438-938X 0340-2541 |
| Popis: | During a root canal treatment a 49-year-old insurance agent developed a severe anaphylactic reaction with oro-pharyngeal swelling, respiratory distress and unconsciousness. Although glucocorticosteroids were given systemically, the swelling persisted for several days. Patch testing revealed a local urticarial reaction after 20 minutes to the root filling material and to epoxy resin in the patch test standard series. In a second patch test, we could identify the epoxy resins based on digylcidylether of bisphenol A and F, respectively, used in the root filling material ((2,2-bis(4-(2,3-epoxypropoxy)-phenyl)-propane and bis-(4-(2,3-epoxypropoxy)-phenyl)-methane)) as the relevant allergens. During this second testing, the patient developed a generalized urticarial rash after one hour. Although the patches were removed after 20 minutes, a strong positive reaction was seen after 72 hours. This case demonstrates that epoxy resin, an allergen which usually induces contact dermatitis, may cause contact urticaria too, and may lead to a strong anaphylactic reaction when applied on mucous membranes. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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