IMMUNOTERAPİ SONRASINDA ANAFİLAKSİ GELİŞEN BİR OLGU SUNUMU
Yıl 2003,
Cilt: 17 Sayı: 1, 29 - 32, 01.05.2003
Suna Köse
Canan Şule Turgut
Özkan Karaman
Dilek Tezcan
Nevin Uzuner
Öz
Ümmunoterapi çocukluk yaş grubunda allerjik rinit ve bronşiyal astımlı seçilmiş hastalarda uygulanmaktadır. Allerjen immunoterapisinin en önemli riski sistemik anafilaktik reaksiyon gelişmesidir. Bu nedenle immunoterapi enjeksiyonları anafilaksi önlemleri alınarak deneyimli klinisyenler tarafından uygulanmalıdır. Bu konuya dikkat çekmek amacıyla Olea europaya karşı immunoterapi yapılan tedavinin 7. ayında immunoterapi enjeksiyonu sonrası anafilaksi gelişen 8 yaşında bir erkek hasta sunulmuştur.
Kaynakça
- 1. Grammer LC. Principles of immunologic
management of allergic diseases due to extrinsic
antigens. In Paterson’s Allergic Disease. (Eds)
Grammer LC, Greenberger PA. Lippincott Williams &
Wilkins 2002 Philedelphia pp:183-94.
- 2 Reisman RE, Tronolone MJ. Immunotherapy.
Immunotherapy: a practical review and guide.
Immunology and Allergy Clin of North America
2000, 20: 469-78.
- 3. Bousquet J, Lockey R, Malling HJ. Allergen
immunotherapy: Therapeutic vaccines for allergic
diseases. J Allergy Clin Immunol 1998, 102: 558-62.
- 4. Kemp SF. Adverse effects of allergen ›mmunotherapy.
Immunotherapy: A Practical Review and
Guide. Immunology and Allergy Clin of North
America 2000, 20: 571-91.
- 5. Greineder DK. Risk management in allergen immunotherapy.
J Allergy Clin Immunol. 1996, 98: 330-4.
- 6. Aas K, Belin L. Standardization of diagnostic work
in allergy. Acta Allergologica 1972; 27: 439-68.
- 7. Rogola B.Risk and safety immunotherapy. Allergy.
1998, 53: 473-6.
- 8. DuBuske LM.Appropriate and inappropriate use of
immunotherapy. Ann Allergy Asthma Immunol
2001, 87(1 Suppl 1): 56-67.
- 9. Karaayvaz M, Erel F, Caliskaner Z, Ozanguc N.
Systemic reactions due to allergen immunotherapy
J Investing Allergol Clin Immunol 1999, 9(1): 39-44.
- 10. Önefl Ü, Yaz›c›o¤lu M, Güler N, Yalç›n I, Salman N.
Allerjen immunoterapisinde lokal ve sistemik yan
etkiler. VI. Ulusal Allerji ve Klinik ‹mmunoloji
Kongresi: PS 72, 1994.
- 11. Günefler Kendirli S, Y›lmaz M, Bingöl G, Alt›ntafl
DU. Allerjen immunoterapisi uygulanan hastalarda
görülen komplikasyonlar. VIII. Ulusal Allerji ve
Klinik ‹mmunoloji Kongresi: PS 85, 1998.
- 12. Toubi E, Kessel A, Blant A, Golan TD Follow-up
after systemic adverse reactions of immunotherapy.
Allergy 1999, 54(6): 617-20.
- 13. Tinkelman DG, Cole WQ 3rd, Tunno J. Immunotherapy:
a one-year prospective study to evaluate
risk factors of systemic reactions. J Allergy Clin
Immunol 1995, 95(1 Pt 1): 8-14.
A CASE REPORT: ANAPHYLAXIS AFTER IMMUNOTHERAPY INJECTION
Yıl 2003,
Cilt: 17 Sayı: 1, 29 - 32, 01.05.2003
Suna Köse
Canan Şule Turgut
Özkan Karaman
Dilek Tezcan
Nevin Uzuner
Öz
Immunotherapy can be used in selected patients in the childhood extrinsic asthma and allergic rhinitis. The major risk of allergen immunotherapy is the development of systemic anaphylactic reactions. Therefore, immunotherapy must be performed by experienced clinicians after taking preventive care for anaphylaxis. We present an 8 year old male patient who developed anaphylaxis against Olea europea immunotherapy in the seventh month of treatment to raise awareness of this subject.
Kaynakça
- 1. Grammer LC. Principles of immunologic
management of allergic diseases due to extrinsic
antigens. In Paterson’s Allergic Disease. (Eds)
Grammer LC, Greenberger PA. Lippincott Williams &
Wilkins 2002 Philedelphia pp:183-94.
- 2 Reisman RE, Tronolone MJ. Immunotherapy.
Immunotherapy: a practical review and guide.
Immunology and Allergy Clin of North America
2000, 20: 469-78.
- 3. Bousquet J, Lockey R, Malling HJ. Allergen
immunotherapy: Therapeutic vaccines for allergic
diseases. J Allergy Clin Immunol 1998, 102: 558-62.
- 4. Kemp SF. Adverse effects of allergen ›mmunotherapy.
Immunotherapy: A Practical Review and
Guide. Immunology and Allergy Clin of North
America 2000, 20: 571-91.
- 5. Greineder DK. Risk management in allergen immunotherapy.
J Allergy Clin Immunol. 1996, 98: 330-4.
- 6. Aas K, Belin L. Standardization of diagnostic work
in allergy. Acta Allergologica 1972; 27: 439-68.
- 7. Rogola B.Risk and safety immunotherapy. Allergy.
1998, 53: 473-6.
- 8. DuBuske LM.Appropriate and inappropriate use of
immunotherapy. Ann Allergy Asthma Immunol
2001, 87(1 Suppl 1): 56-67.
- 9. Karaayvaz M, Erel F, Caliskaner Z, Ozanguc N.
Systemic reactions due to allergen immunotherapy
J Investing Allergol Clin Immunol 1999, 9(1): 39-44.
- 10. Önefl Ü, Yaz›c›o¤lu M, Güler N, Yalç›n I, Salman N.
Allerjen immunoterapisinde lokal ve sistemik yan
etkiler. VI. Ulusal Allerji ve Klinik ‹mmunoloji
Kongresi: PS 72, 1994.
- 11. Günefler Kendirli S, Y›lmaz M, Bingöl G, Alt›ntafl
DU. Allerjen immunoterapisi uygulanan hastalarda
görülen komplikasyonlar. VIII. Ulusal Allerji ve
Klinik ‹mmunoloji Kongresi: PS 85, 1998.
- 12. Toubi E, Kessel A, Blant A, Golan TD Follow-up
after systemic adverse reactions of immunotherapy.
Allergy 1999, 54(6): 617-20.
- 13. Tinkelman DG, Cole WQ 3rd, Tunno J. Immunotherapy:
a one-year prospective study to evaluate
risk factors of systemic reactions. J Allergy Clin
Immunol 1995, 95(1 Pt 1): 8-14.