A case of anaphylactic shock induced by hydrocortisone sodium succinate in patient with wheat allergy.
- Author:
Kyung Won PARK
;
Mi Seon KIM
;
Hyo Jung KIM
;
Jung Hyun CHUN
;
Kyung Eun LEE
;
Yun Hae CHANG
;
Young Joo CHO
- Publication Type:Case Report
- Keywords:
corticosteroid;
anaphylactic reaction
- MeSH:
Adrenal Cortex Hormones;
Anaphylaxis*;
Humans;
Hydrocortisone*;
Hypersensitivity;
Skin Tests;
Sodium*;
Succinic Acid*;
Triticum*;
Wheat Hypersensitivity*
- From:Journal of Asthma, Allergy and Clinical Immunology
1999;19(6):974-979
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Corticosteroids are widely used in treatment of allergic or idiosyncratic anaphylactic reactions, paradoxically, they can be responsible for anaphylactic reactions. Although several reports of suspected allergic reactions to corticosteroids had already appeared, Mendelson et al reported the first instance of immediate anaphylaxis ascribed to solucortef in 1974. We present a review of the literature, and report on one patient with wheat allergy suffered from anaphylactic shock after injection of hydrocortisone sodium succinate. In patients with systemic severe reactions to injectable corticosteroids, we recommend careful and comprehensive skin testing with most available corticosteroids, as well as the components of the injectables.
