Attention Attention; Anaphylaxis After Skin Testing with Aeroallergens

Yıl 2024, Cilt: 24 Sayı: 4, 245 - 247, 24.02.2025

Çağla Karavaizoğlu , Kazım Okan Dolu , Ayşe Süleyman , Sibel Gurbuz Fatma Gul Kılavuz Cevdet Özdemir , Zeynep Ülker Tamay

https://doi.org/10.26650/jchild.2024.1568870

Öz

Skin prick tests (SPT) are widely used in the diagnosis of allergic diseases because of their reliability, simplicity, cost-effectiveness, and rapid results. Herein, we report a 4-year-old boy who developed anaphylaxis with aeroallergen SPT in an asthmatic child. SPTs were positive for both house dust and Plantago allergens.Although the frequency of systemic reactions to SPTs is low, these tests should only be performed in medical facilities with appropriate equipment and well-trained medical personnel for anaphylaxis.

Anahtar Kelimeler

Anaphylaxis , skin prick test , aeroallergen , asthma

Kaynakça

• Frati F, Incorvaia C, Cavaliere C, Di Cara G, Marcucci F, Esposito S, Masieri S. The skin prick test. J Biol Regul Homeost Agents. 2018 Jan-Feb;32(1 Suppl. 1):19-24. PMID: 29552869. google scholar
• Swender D, Chernin L, Mitchell C, Sher T, Hostoffer R, Tcheurekdjian H. Rate of epinephrine administration associated with allergic skin testing in a suburban allergy practice from 1997 to 2010. Allergy Rhinol (Providence). 2012:e55-e60. google scholar
• Valyasevi MA, Maddox DE, Li JTC. Systemic reactions to allergy skin tests. Ann Allergy Asthma Immunol. 1999;83:132-6 google scholar
• Sellaturay, P., Nasser S, Ewan P. The incidence and features of systemic reactions to skin prick tests. Ann Allergy Asthma Immunol. 2015 Sep;115(3):229-3 google scholar
• Abbas M, Moussa M, Akel H. Type I hypersensitivity reaction. In: StatPearls StatPearls Publishing; 2024. Available online: http:// www.ncbi.nlm.nih.gov/books/NBK560561/. Accessed on May 21, 2024. google scholar
• Karkın G, İlbilge Ertoy Karagöl H, Polat Terece S, Köken G, Yapar D, Bakırtaş A. Systemic Reactions to Skin Prick Test with Food Allergens in Children. Turk Arch Pediatr. 2024 Jan;59(1):54-59. doi: 10.5152/TurkArchPediatr.2024.23116. PMID: 38454261; PMCID: PMC10837521. google scholar
• Antunes J, Borrego L, Romeira A, Pinto P. Skin prick tests and allergy diagnosis. Allergol Immunopathol (Madr). 2009 May-Jun;37(3):155-64. doi: 10.1016/S0301-0546(09)71728-8. Epub on July 23, 2009. PMID: 19769849 google scholar
• Liccardi G et al. Systemic reactions from skin testing: literature review. J Investig Allergol Clin Immunol 2006; Vol. 16(2): 75-78 google scholar
• Henzerling L, Mari A, Bergmann KC, Bresciani M, Burbach G, Darsow U, Durham S, Fokkens W, Gjomarkaj M, Haahtela T, Bom AT, Wöhrl S, Maibach H, Lockey R. The skin prick test-European standards. Clin Transl Allergy. 2013 Feb 1;3(1):3. doi: 10.1186/2045-7022-3-3. PMID: 23369181; PMCID: PMC3565910. google scholar
• Skin prick testing: Australasian Society of Clinical Immunology and Allergy (ASCIA). Available online: https://www.allergy.org.au/hp/ papers/ skin-prick-testing. Accessed on May 21, 2024 google scholar
• Bagg A, Chacko T, Lockey R. Reactions to prick and intradermal skin tests. Ann Allergy Asthma Immunol. 2009 May;102(5):400-2. doi: 10.1016/S1081-1206(10)60511-X. PMID: 19492661 google scholar
• G. Norrman and K. Falth-Magnusson. Adverse reactions to skin prick testing in children: prevalence and possible risk factors. Pediatr Allergy Immunol. 2009 May;20(3):273-8. doi: 10.1111/j.1399-3038.2008.00761.x. Epub on Feb 10, 2009. PMID: 19220772. google scholar
• Liccardi G, Salzillo A, Spadaro G, Senna G, Canonica WG, D’amato G, Passalacqua G. Anaphylaxis caused by aeroallergen skin prick testing: A case report and evaluation of the risk in Italian allergy services. J Allergy Clin Immunol 2003 Jun;111(6):1410-2. doi: 10.1067/mai.20 google scholar
• Ozdemir O. Frequency of reactions to inhalant and food allergens in children. North Clin Istanb. 2021 Apr 29;8(3):275-279. doi: 10.14744/nci.2020.46656. PMID: 34222809; PMCID: PMC824023503.1521. google scholar
• Robles-Velasco K, Cevallos-Levicek D, Mosnaim G. Case report of an unusual allergic reaction to a routine skin prick test performed in an outpatient clinic: Diagnosis, management, and knowledge gaps. Medicine (Baltimore). 2024 Jul 5;103(27):e38628. doi: 10.1097/MD.0000000000038628. google scholar
• Babayigit Hocaoglu A, Cipe F, Aydogmus C. Are skin prick tests really safe? A case of anaphylaxis caused by skin prick testing with inhalant allergens. Allergol Immunopathol (Madr). 2015 Mar-Apr;43(2):215-6. doi: 10.1016/j.aller.2013.09.011. Epub on January 30, 2014. PMID: 24485940 google scholar