Immediate hypersensitivity to low molecular weight heparins: Remarks concerning a case

被引:1
作者
Sacre, A. [1 ]
Brasseur, M. [2 ]
Boulet, D. [3 ]
Halloy, J. -L. [4 ]
机构
[1] CHR St Joseph Warquignies, Serv Pneumol, Mons, Belgium
[2] Hop Ambroise Pare, Lab Serv, Mons, Belgium
[3] CHR St Joseph Warquignies, Serv Hematooncol, Dept Med Interne, Mons, Belgium
[4] CHR St Joseph Warquignies, Serv Pneumoallergol, Mons, Belgium
来源
REVUE FRANCAISE D ALLERGOLOGIE | 2010年 / 50卷 / 06期
关键词
Heparin; Drug allergy; Immediate hypersensitivity; Basophil activation test; DELAYED-TYPE HYPERSENSITIVITY; DIAGNOSIS; ALLERGY;
D O I
10.1016/j.reval.2010.03.008
中图分类号
R392 [医学免疫学];
学科分类号
100102 ;
摘要
Heparin is one of the oldest drugs on the market. Widely used for the prevention and treatment of thromboembolic diseases, its adverse effects are well-known. Allergic reactions are rare (0.2%), especially immediate hypersensitivity reactions, which are exceptional. We report a case of an immediate allergic reaction to nadroparine. We discuss diagnostic methods, the potential interest in the basophile activation test, cross-reactivity and therapeutic alternatives. (C) 2010 Elsevier Masson SAS. All rights reserved.
引用
收藏
页码:509 / 512
页数:4
相关论文
共 15 条
[1]   Heparin-induced recurrent anaphylaxis [J].
Berkun, Y ;
Haviv, YS ;
Schwartz, LB ;
Shalit, M .
CLINICAL AND EXPERIMENTAL ALLERGY, 2004, 34 (12) :1916-1918
[2]   Hypersensitivity reactions to anticoagulant drugs: diagnosis and management options [J].
Bircher, A. J. ;
Harr, T. ;
Hohenstein, L. ;
Tsakiris, D. A. .
ALLERGY, 2006, 61 (12) :1432-1440
[3]   Life-threatening anaphylactic shock caused by porcine heparin intravenous infusion during mitral valve repair [J].
Bottio, T ;
Pittarello, G ;
Bonato, R ;
Fagiolo, U ;
Gerosa, G .
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2003, 126 (04) :1194-1195
[4]  
Caballero M R, 2003, Allergol Immunopathol (Madr), V31, P324, DOI 10.1157/13055211
[5]  
Caliskaner Z, 2005, J INVEST ALLERG CLIN, V15, P78
[6]   Flow-assisted allergy diagnosis: current applications and future perspectives [J].
Ebo, D. G. ;
Sainte-Laudy, J. ;
Bridts, C. H. ;
Mertens, C. H. ;
Hagendorens, M. M. ;
Schuerwegh, A. J. ;
De Clerck, L. S. ;
Stevens, W. J. .
ALLERGY, 2006, 61 (09) :1028-1039
[7]   Delayed-type hypersensitivity to low molecular weight heparins and heparinoids:: cross-reactivity does not depend on molecular weight [J].
Grims, R. H. ;
Weger, W. ;
Reiter, H. ;
Arbab, E. ;
Kraenke, B. ;
Aberer, W. .
BRITISH JOURNAL OF DERMATOLOGY, 2007, 157 (03) :514-517
[8]   Immediate type hypersensitivity to low molecular weight heparins and tolerance of unfractioned heparin and fondaparinux [J].
Harr, T ;
Scherer, K ;
Tsakiris, DA ;
Bircher, AJ .
ALLERGY, 2006, 61 (06) :787-788
[9]   Allergy to heparin, heparinoids, and recombinant hirudin. Diagnostic procedures and alternative coagulants [J].
Jappe, U ;
Gollnick, H .
HAUTARZT, 1999, 50 (06) :406-411
[10]   Delayed-type hypersensitivity to subcutaneous enoxaparin [J].
Mendez, J ;
Sanchis, ME ;
de la Fuente, R ;
Stolle, R ;
Vega, JM ;
Martinez, C ;
Armentia, A ;
Sanchez, P ;
Fernandez, A .
ALLERGY, 1998, 53 (10) :999-1003