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2022, Number 3

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Acta Med 2022; 20 (3)

Allergic reaction to articaine with tolerance to lidocaine

Alonso BCD, Castañeda AVI, Castrejón VMI
Full text How to cite this article 10.35366/105732

DOI

DOI: 10.35366/105732
URL: https://dx.doi.org/10.35366/105732

Language: Spanish
References: 5
Page: 269-271
PDF size: 148.65 Kb.


Key words:

Lidocaine, articaine, cross-reactivity, local anesthetics, allergy.

ABSTRACT

Local anesthetics are drugs that block nociceptive impulses to the cerebral cortex. Allergic reactions to these drugs are rare and it is necessary to demonstrate that they are mediated by immediate IgE-dependent hypersensitivity to recommend treatment alternatives. We present the clinical case of an 18-year-old male, during the first hour after the application of articaine hydrochloride with epinephrine, he presented an adverse reaction after a dental procedure. Real allergic reactions to local anesthetics are less than 1%, in the case of the patient it was suspected due to the time of evolution from the beginning of the application and the onset of the symptoms.


REFERENCES

  1. Barletta M, Reed R. Local anesthetics: pharmacology and special preparations. Vet Clin North Am Small Anim Pract. 2019; 49 (6):1109-1125.

  2. El-Qutob D, Morales C, Peláez A. Allergic reaction caused by articaine. Allergol Immunopathol (Madr). 2005; 33 (2): 115-116.

  3. Al-Dosary K, Al-Qahtani A, Alangari A. Anaphylaxis to lidocaine with tolerance to articaine in a 12 year old girl. Saudi Pharm J. 2014; 22 (3): 280-282.

  4. Kamchaisatian W, Insorn N, Juthacharoenwong N, Techapaitoon S. An 11-year-old boy with immediate allergic reaction to articaine but not to lidocaine. Clin Transl Allergy. 2014; 4 (suppl 3): P71.

  5. De Pasquale TMA, Buonomo A, Pucci S. Delayed-type allergy to articaine with cross-reactivity to other local anesthetics from the amide group. J Allergy Clin Immunol Pract. 2018; 6 (1): 305-306.




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Acta Med. 2022;20