Late Local Urticaria as a Long-term Sequela of Allergen-Specific Immunotherapy.
- Author:
Inseon CHOI
1
;
Youngil I KOH
;
Se Woong CHUNG
;
Jeong Ook WI
;
Doo Seon SIM
Author Information
1. Department of Allergy, Chonnam National University Medical School and Chonnam National University Research Institute of Medical Sciences, Gwangju, Korea. ischoi@chonnam.chonnam.ac.kr
- Publication Type:Case Report
- Keywords:
Allergen-specific immunotherapy;
Local urticaria;
Morphine;
Releasability
- MeSH:
Adult;
Asthma/*therapy;
*Exercise;
Exercise Test;
Humans;
*Hypersensitivity, Delayed;
*Immunotherapy;
Injections, Subcutaneous;
Male;
Urticaria/*etiology
- From:The Korean Journal of Internal Medicine
2004;19(3):202-204
- CountryRepublic of Korea
- Language:English
-
Abstract:
Local reaction to allergen-specific immunotherapy (SIT) usually appears within 30 minutes, but cases with exercise-induced urticaria at the SIT site 2-3 weeks after the last allergen injection have been reported. A 28-year-old man was treated with house dust mite-SIT for 5 years, due to asthma when he was an 11-year-old boy. On a treadmill exercise test for 50 minutes, erythema, swelling, and pruritus occurred at the SIT site, which lasted for one hour. There was no evidence of complement activation, and the skin biopsy specimens showed no apparent difference between the lesion and normal sites in the distribution of inflammatory cells and in mast cell degranulation. However, the morphine, but not the histamine, skin test responses were increased after the exercise. There must be a remaining long-term sequela of the SIT, including an increased releasability of mast cells, even after more than 10 years.
