Anaphylactic reaction induced by a polysulfone/polyvinylpyrrolidone membrane in the 10th session of hemodialysis with the same dialyzer

被引:37
作者
Bacelar Marques, Igor Denizarde [1 ]
Pinheiro, Karina Franca [1 ]
de Freitas do Carmo, Lilian Pires [1 ]
Costa, Maristela Carvalho [1 ]
Abensur, Hugo [1 ]
机构
[1] Univ Sao Paulo, Sch Med, Div Nephrol, Dept Internal Med, Sao Paulo, Brazil
关键词
Hypersensitivity reaction; hemodialysis; dialyzer; polysulfone; polyvinylpyrrolidone; DIALYSIS FLUID; COMPLEMENT;
D O I
10.1111/j.1542-4758.2011.00553.x
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
The majority of severe hypersensitivity reactions in hemodialysis patients have occurred due to sensitization to ethylene oxide or to nonbiocompatible membrane dialyzers. The use of polysulfone dialyzers rarely causes hypersensitivity reactions. In the present study, we describe a case of severe life-threatening reactions induced by polysulfone dialyzers (from different manufacturers subjected to a variety of sterilization methods), which occurred after 9 sessions of hemodialysis with the same prescription, exemplifying the complexity of such reactions.
引用
收藏
页码:399 / 403
页数:5
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