歯科用キシロカイン^【○!R】中に含まれるピロ亜硫酸ナトリウムによるアナフィラキシーショックの1例 A case of anaphylactic shock caused by sodium metabisulfite contained in Xylocaine^【○!R】for dental treatment

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著者

    • 西條 英人 SAIJO Hideto
    • 東京大学医学部附属病院顎口腔外科・歯科矯正歯科 Department of Oral-maxillofacial Surgery, Dentistry and Orthodontics, The University of Tokyo Hospital
    • 西川 久美子 NISHIKAWA Kumiko
    • 東京大学医学部附属病院顎口腔外科・歯科矯正歯科 Department of Oral-maxillofacial Surgery, Dentistry and Orthodontics, The University of Tokyo Hospital
    • 森 良之 MORI Yoshiyuki
    • 東京大学医学部附属病院顎口腔外科・歯科矯正歯科 Department of Oral-maxillofacial Surgery, Dentistry and Orthodontics, The University of Tokyo Hospital
    • 小泉 敏之 KOIZUMI Toshiyuki
    • 東京大学医学部附属病院顎口腔外科・歯科矯正歯科 Department of Oral-maxillofacial Surgery, Dentistry and Orthodontics, The University of Tokyo Hospital
    • 坂田 康彰 SAKATA Yasuaki
    • 東京大学医学部附属病院顎口腔外科・歯科矯正歯科 Department of Oral-maxillofacial Surgery, Dentistry and Orthodontics, The University of Tokyo Hospital
    • 高戸 毅 TAKATO Tsuyoshi
    • 東京大学医学部附属病院顎口腔外科・歯科矯正歯科 Department of Oral-maxillofacial Surgery, Dentistry and Orthodontics, The University of Tokyo Hospital

抄録

We report a rare case of anaphylactic shock during tooth extraction. The patient had atopic dermatitis for about 20 years. Although the serine IgE level was high, the results of drug lymphocyte stimulation tests (DLST) against all ingredients in the local anesthetics were negative.<BR>However, when we performed skin-tests against sodium metabisulfite and para-oxy benzoic acid methyl, small amounts of which were contained in the local anesthetics, sodium metabisulfite induced an allergic reaction.<BR>We conclude that this was a rare case of anaphylaxis caused by sodium metabisulfite in a patient with atopic dermatitis.<BR>We should be especially cautious when we use local anesthetics in patients with atopic dermatitis.

収録刊行物

  • 日本口腔外科学会雑誌

    日本口腔外科学会雑誌 49(3), 237-240, 2003-03-20

    Japanese Society of Oral and Maxillofacial Surgeons

参考文献:  22件中 1-22件 を表示

被引用文献:  6件中 1-6件 を表示

各種コード

  • NII論文ID(NAID)
    10012628981
  • NII書誌ID(NCID)
    AN00189163
  • 本文言語コード
    JPN
  • 資料種別
    NOT
  • ISSN
    00215163
  • データ提供元
    CJP書誌  CJP引用  J-STAGE 
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