Document Detail


Aspirin sensitivity: the role for aspirin challenge and desensitization in postmyocardial infarction patients.
MedLine Citation:
PMID:  10393393     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Aspirin is one of the world's most commonly used medications and its use benefits many diverse conditions. Adverse reactions, however, are relatively common as well. Hypersensitivity to aspirin can be manifested as acute asthma, urticaria and/or angioedema, or a systemic anaphylactoid reaction. We report 3 cases in whom aspirin was indicated for secondary prophylaxis of myocardial infarction but in whom a remote history of an untoward reaction to it prevented its initial use. These patients all underwent further evaluation of their pulmonary and allergic history and all 3 were challenged with aspirin. Two patients were found not to be sensitive and started on aspirin, the other had a classic asthmatic reaction to the drug and was successfully desensitized to aspirin allowing for its use.
Authors:
O P Schaefer; J M Gore
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Cardiology     Volume:  91     ISSN:  0008-6312     ISO Abbreviation:  Cardiology     Publication Date:  1999  
Date Detail:
Created Date:  2000-01-04     Completed Date:  2000-01-04     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  1266406     Medline TA:  Cardiology     Country:  SWITZERLAND    
Other Details:
Languages:  eng     Pagination:  8-13     Citation Subset:  IM    
Affiliation:
Division of Pulmonary, Allergy and Critical Care Medicine, University of Massachusetts Medical School, Worcester, Mass., USA. oren.schaefer@banyan.ummed.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aspirin / administration & dosage,  adverse effects*,  diagnostic use
Asthma / chemically induced,  diagnosis,  immunology
Desensitization, Immunologic*
Diagnosis, Differential
Dose-Response Relationship, Drug
Drug Eruptions / diagnosis,  immunology,  therapy
Drug Hypersensitivity / diagnosis,  immunology,  therapy*
Female
Humans
Male
Middle Aged
Myocardial Infarction / drug therapy*
Treatment Outcome
Chemical
Reg. No./Substance:
50-78-2/Aspirin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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