Drug eruption by antihistamine mistaken for chronic urticaria in a child

Autor: Gun Moo Lee, Shou-Yu Chu, Sung Yeon Kang, Hyo-Bin Kim, Jin-Sung Park, Ja Kyoung Kim
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Korean Journal of Pediatrics, Vol 62, Iss 2, Pp 75-78 (2019)
Druh dokumentu: article
ISSN: 1738-1061
2092-7258
DOI: 10.3345/kjp.2018.06695
Popis: Although rare, antihistamines can cause adverse effects, including drug-induced eruptions or anaphylaxis. A 4-year-old child visited the pediatric department of a hospital for skin eruptions after administration of antihistamines, (e.g., ucerax [hydroxyzine] or leptizine [levocetirizine]), for cholinergic rashes; he did not have pruritus. Skin prick, intradermal, and drug provocation tests were performed to determine the relationship between the antihistamines and eruptions. Levocetirizine induced wheals in the skin prick test and a rash in the oral drug provocation test. In contrast, ketotifen induced no reaction in the skin prick test but showed a positive reaction in the oral provocation test. Our case report highlights that children can experience the same types of adverse reactions as seen in adults, and cross-reactivity between various antihistamines can occur.
Databáze: Directory of Open Access Journals