A Case Report and Pediatric Literature Review: Povidone as a Rare Cause of Anaphylaxis in Children.

IF 1.1 4区 医学 Q4 ALLERGY Pediatric Allergy Immunology and Pulmonology Pub Date : 2024-06-01 Epub Date: 2024-06-12 DOI:10.1089/ped.2024.0036
Sumeyye Baysal, Hulya Anil, Koray Harmanci
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引用次数: 0

Abstract

Background: Povidone, a synthetic polymer commonly used in various products such as antiseptics, cosmetics, and medications, has been associated with allergic reactions, including anaphylaxis. Despite its widespread use, cases of povidone-induced anaphylaxis, especially in children, are under-recognized. This case report aims to highlight the importance of considering povidone allergy in pediatric patients presenting with anaphylaxis. Case Presentation: We describe a 3-year-old boy who experienced anaphylaxis following the application of povidone-iodine antiseptic solution to a leg wound. He presented with generalized urticaria, angioedema, dyspnea, and cough. Prompt diagnosis and management were initiated in the emergency department. He experienced the second anaphylaxis with povidone-containing eye drops prescribed during an ophthalmology visit. Conclusions: Povidone allergy should be considered in pediatric patients presenting with anaphylaxis, especially those with idiopathic reactions or multiple drug allergies. Clinicians should emphasize patient education on label reading and the provision of adrenaline autoinjectors to prevent life-threatening reactions associated with povidone exposure.

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病例报告和儿科文献综述:聚维酮是导致儿童过敏性休克的罕见原因。
背景:聚维酮是一种合成聚合物,常用于消毒剂、化妆品和药物等各种产品中,与过敏反应(包括过敏性休克)有关。尽管聚维酮被广泛使用,但其诱发的过敏性休克病例,尤其是儿童过敏性休克病例,却未得到充分认识。本病例报告旨在强调在出现过敏性休克的儿童患者中考虑聚维酮过敏的重要性。病例介绍:我们描述了一名 3 岁男孩在腿部伤口涂抹聚维酮碘消毒液后出现过敏性休克。他出现全身性荨麻疹、血管性水肿、呼吸困难和咳嗽。急诊科对其进行了及时诊断和治疗。在眼科就诊时,医生给他开了含聚维酮的眼药水,这是他经历的第二次过敏性休克。结论:对于出现过敏性休克的儿童患者,尤其是特发性反应或对多种药物过敏的患者,应考虑聚维酮过敏。临床医生应重视对患者进行标签阅读教育,并提供肾上腺素自动注射器,以防止因接触聚维酮而发生危及生命的反应。
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来源期刊
CiteScore
2.00
自引率
0.00%
发文量
23
审稿时长
>12 weeks
期刊介绍: Pediatric Allergy, Immunology, and Pulmonology is a peer-reviewed journal designed to promote understanding and advance the treatment of respiratory, allergic, and immunologic diseases in children. The Journal delivers original translational, clinical, and epidemiologic research on the most common chronic illnesses of children—asthma and allergies—as well as many less common and rare diseases. It emphasizes the developmental implications of the morphological, physiological, pharmacological, and sociological components of these problems, as well as the impact of disease processes on families. Pediatric Allergy, Immunology, and Pulmonology coverage includes: -Functional and genetic immune deficiencies- Interstitial lung diseases- Both common and rare respiratory, allergic, and immunologic diseases- Patient care- Patient education research- Public health policy- International health studies
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