期刊
ANAESTHESIA AND INTENSIVE CARE
卷 37, 期 4, 页码 646-649出版社
SAGE PUBLICATIONS LTD
DOI: 10.1177/0310057X0903700415
关键词
mastocytosis; iodinated contrast media; tryptase level
Systemic mastocytosis is a rare disorder characterised by tissue infiltration of morphologically abnormal mast cells and has been associated with severe anaphylactoid reactions during general anaesthesia. We report the case of a 43-year-old woman who developed a severe anaphylactoid reaction to iodinated contrast media. Persistently elevated serum tryptase levels led to further evaluation and the eventual diagnosis of systemic mastocytosis. This case highlights the importance of repeated measurements of serum tryptase levels following severe anaphylactoid reactions. The anaesthetist should also be aware of the propensity of these patients to develop severe anaphylactoid reactions during general anaesthesia and use treatment strategies to minimise this risk.
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