Evaluation of hypersensitivity reactions with leuprolide acetate and triptorelin acetate in children

Autor: Azize Pınar Metbulut, Keziban Toksoy Adıgüzel, Candan İslamoğlu, Mehmet Boyraz, Emine Dibek Mısırlıoğlu
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Indian Journal of Endocrinology and Metabolism, Vol 25, Iss 6, Pp 527-531 (2021)
Druh dokumentu: article
ISSN: 2230-8210
DOI: 10.4103/ijem.ijem_333_21
Popis: Introduction: Gonadotropin releasing hormone analogues (GnRHa) are commonly used to treat central precocious puberty (CPP). Generally, they are well-tolerated; however adverse reactions have been reported. Local adverse events occur in 10-15% of the patients who were treated with GnRHa. Anaphylactoid reactions with GnRHa are very rarely seen. The aim of this study is to report our clinical experience with hypersensitivity reactions seen in pediatric patients receiving leuprolide acetate (LA) and triptorelin acetate (TA) in CPP at the single pediatric tertiary medical center and to evaluate the incidence rate of hypersensitivity reactions. Methods: This retrospective study included children with CPP who were treated with GnRHa (LA and TA) at our hospital between January 2013 and December 2020. We analyzed clinical characteristics of patients who experienced adverse reactions and analyzed the incidence rate. Results: Seven side effects (adverse reactions) (0.69%) were observed among total of 1010 CPP patients who were treated with TA and LA. Sterile abscesses were observed in 3 patients (0.29%). None of the patients had an anaphylaxis. Tremors of both hands, a vomiting episode, an urticarial rash, and musculoskeletal stiffness were observed in one patient each. Conclusion: In our study, mild reactions were seen in 7 patients. GnRHa can be safely used and well-tolerated medications; but exceedingly rare, severe reactions can be developed.
Databáze: Directory of Open Access Journals
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