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DOI QR Code

Delayed Allergic Reaction to Secondary Administrated Epidural Hyaluronidase

  • Park, A Reum (Department of Anesthesiology and Pain Medicine, Chonnam National University Medical School) ;
  • Kim, Woong Mo (Department of Anesthesiology and Pain Medicine, Chonnam National University Medical School) ;
  • Heo, Bong Ha (Department of Anesthesiology and Pain Medicine, Chonnam National University Medical School)
  • 투고 : 2014.12.26
  • 심사 : 2015.01.02
  • 발행 : 2015.04.01

초록

We are reporting a rare case of a delayed hypersensitivity reaction caused by hyaluronidase allergy following a lumbar transforaminal epidural block. Using an intradermal skin test, we have provided evidence that the systemic allergic reaction resulted from hypersensitivity to hyaluronidase. To our knowledge, this is a rare case of a delayed hypersensitivity reaction to epidural hyaluronidase, comprised of an initial exposure to hyaluronidase with no subsequent allergic response in prior block followed by a subsequent delayed reaction to hyaluronidase during a second epidural block.

키워드

참고문헌

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피인용 문헌

  1. Hyaluronidase vol.1555, pp.1, 2015, https://doi.org/10.1007/s40278-015-2366-z
  2. Delayed allergic hypersensitivity to hyaluronidase during the treatment of granulomatous hyaluronic acid reactions pp.14732130, 2017, https://doi.org/10.1111/jocd.12461
  3. Oblique interlaminar lumbar epidural steroid injection for management of low back pain with lumbosacral radicular pain - A case report - vol.12, pp.4, 2015, https://doi.org/10.17085/apm.2017.12.4.375
  4. The Efficacy of Hyaluronidase in Early Surgery of Nasal Bone Fracture : vol.30, pp.7, 2015, https://doi.org/10.1097/scs.0000000000005646