Pulmonary edema: Atypical anaphylactoid reaction to intravenous iron dextran

被引:8
作者
Freter, S [1 ]
Davidman, M [1 ]
Lipman, M [1 ]
Bercovitch, D [1 ]
机构
[1] MCGILL UNIV,SIR MORTIMER B DAVIS JEWISH HOSP,DIV NEPHROL,MONTREAL,PQ H3T 1E2,CANADA
关键词
iron dextran; anaphylaxis; hemodialysis; pulmonary edema;
D O I
10.1159/000169146
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
Two cases of atypical anaphylactoid reactions to intravenous iron dextran in hemodialysis patients are described. Anaphylactic reactions to iron dextran in dialysis patients are not uncommon. Pulmonary edema is not generally seen in anaphylaxis. Our patients both developed significant pulmonary edema following intravenous infusion of iron dextran, which responded promptly to treatment of analphylaxis. Potential mechanisms are discussed.
引用
收藏
页码:477 / 479
页数:3
相关论文
共 21 条
[1]  
AKIZAWA T, 1994, CLIN NEPHROL, V41, P241
[2]  
ATKINSON TP, 1992, MED CLIN N AM, V76, P841
[3]  
Avasthi R, 1991, J Assoc Physicians India, V39, P428
[4]   FATAL ANAPHYLAXIS AFTER INTRAMUSCULAR IRON-DEXTRAN [J].
BECKER, CE ;
MACGREGOR, RR ;
WALKER, KS ;
JANDL, JH .
ANNALS OF INTERNAL MEDICINE, 1966, 65 (04) :745-+
[5]   SERUM SICKNESS FROM IRON-DEXTRAN ADMINISTRATION [J].
BIELORY, L .
ACTA HAEMATOLOGICA, 1990, 83 (03) :166-168
[6]   ANAPHYLAXIS [J].
BOCHNER, BS ;
LICHTENSTEIN, LM .
NEW ENGLAND JOURNAL OF MEDICINE, 1991, 324 (25) :1785-1790
[7]   ANAPHYLACTOID REACTIONS DURING HEMODIALYSIS AND HEMOFILTRATION - ROLE OF ASSOCIATING AN69 MEMBRANE AND ANGIOTENSIN I-CONVERTING ENZYME-INHIBITORS [J].
BRUNET, P ;
JABER, K ;
BERLAND, Y ;
BAZ, M .
AMERICAN JOURNAL OF KIDNEY DISEASES, 1992, 19 (05) :444-447
[8]  
CROSBY WH, 1991, HOSP PRACT, V26, P49
[9]   RHABDOMYOLYSIS AFTER INTRAMUSCULAR IRON-DEXTRAN IN MALABSORPTION [J].
FOULKES, WD ;
SEWRY, C ;
CALAM, J ;
HODGSON, HJF .
ANNALS OF THE RHEUMATIC DISEASES, 1991, 50 (03) :184-186
[10]   INTRAVENOUS IRON DEXTRAN IN CLINICAL MEDICINE [J].
HAMSTRA, RD ;
BLOCK, MH ;
SCHOCKET, AL .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1980, 243 (17) :1726-1731