| Allergy-induced preterm labor after the ingestion of shellfish. | |
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MedLine Citation:
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PMID: 19900031 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Preterm parturition is a syndrome caused by several mechanisms of disease, including intrauterine infection/inflammation, uteroplacental ischemia, uterine overdistension, cervical disease, maternal/fetal stress, abnormal allogeneic responses, allergic reactions, and unknown insults. An allergic-like mechanism was proposed as a potential etiology for the preterm parturition syndrome, based on the observation that eosinophils were present in the amniotic fluid in a fraction of women with preterm labor and a history of allergy, coupled with the observation that conditioned media from degranulated mast cells (the effector cells of type 1 hypersensitivity) induced contractility of human myometrial strips. This communication describes a case of a pregnant woman who had an allergic reaction and regular uterine contractions after the ingestion of lobster meat, to which she was known to be allergic. Preterm labor subsided after the treatment of antihistamines and steroids. The patient subsequently delivered at term. At follow-up, the child was diagnosed with atopy and asthma, and required frequent use of inhaled corticosteroids and beta-2 adrenergic agents. The immunological basis for preterm labor induced by an allergic-like reaction (hypersensitivity) is reviewed. |
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Authors:
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Roberto Romero; Juan Pedro Kusanovic; Hernan Mu?oz; Ricardo Gomez; Ronald F Lamont; Lami Yeo |
Publication Detail:
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Type: Case Reports; Journal Article; Research Support, N.I.H., Intramural |
Journal Detail:
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Title: The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians Volume: 23 ISSN: 1476-4954 ISO Abbreviation: J. Matern. Fetal. Neonatal. Med. Publication Date: 2010 Apr |
Date Detail:
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Created Date: 2010-03-12 Completed Date: 2010-06-07 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101136916 Medline TA: J Matern Fetal Neonatal Med Country: England |
Other Details:
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Languages: eng Pagination: 351-9 Citation Subset: IM |
Affiliation:
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Perinatology Research Branch, NICHD/NIH/DHHS, Bethesda, Maryland, USA. prbchiefstaff@med.wayne.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Animals Anti-Allergic Agents / therapeutic use Betamethasone / therapeutic use Chlorpheniramine / therapeutic use Female Food Hypersensitivity / complications* Glucocorticoids / therapeutic use Humans Nephropidae Obstetric Labor, Premature / diet therapy, immunology* Pregnancy Pregnancy Outcome Shellfish / adverse effects* Uterine Contraction |
| Chemical | |
Reg. No./Substance:
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0/Anti-Allergic Agents; 0/Glucocorticoids; 132-22-9/Chlorpheniramine; 378-44-9/Betamethasone |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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