Journal of the korean academy of Pediatric Dentistry (대한소아치과학회지)

Korean Academy of Pediatric Dentistry (대한소아치과학회)
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Hypersensitivity to Local Anesthetics: A Case Report

국소마취제로 인한 과민반응 : 증례 보고

  • Rah, Yujin (Department of Pediatric Dentistry, College of Dentistry, Wonkwang University) ;
  • Lee, Jewoo (Department of Pediatric Dentistry, College of Dentistry, Wonkwang University) ;
  • Ra, Jiyoung (Department of Pediatric Dentistry, College of Dentistry, Wonkwang University)
  • 나유진 (원광대학교 치과대학 소아치과학교실) ;
  • 이제우 (원광대학교 치과대학 소아치과학교실) ;
  • 라지영 (원광대학교 치과대학 소아치과학교실)
  • Received : 2016.09.05
  • Accepted : 2016.10.24
  • Published : 2017.08.31
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Abstract

Local anesthetics are widely used in clinical dentistry. However, while rare, there have been some reports of true hypersensitivity to local anesthetics. A case of hypersensitivity in a 26-month-old boy is reported. After administering local anesthesia with lidocaine, treatment was performed while the patient was under oral sedation. After treatment, the patient presented with lower lip edema. Treatment with anti-histamines and a steroid successfully reversed his symptoms.

국소마취제는 치과 영역에서 임상적으로 널리 사용되어 왔으나, 국소마취제로 인한 과민반응은 매우 드물게 나타난다. 그러나 낮은 발생률에도 불구하고, 국소마취제로 인한 과민반응 증례가 보고되어 왔다. 본 증례는 충차치료를 주소로 내원한 26개월 남환에서 관찰된 과민반응으로, 리도카인 국소마취 후 하순의 부종이 발생하였다. 항히스타민제와 스테로이드의 사용으로 증상이 경감되었다.

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References

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