Repeated anaphylactic reaction after walking following an intraarticular injection of diclofenac etalhyaluronate sodium during a 3‐day period
Background There has been no English report of repeated anaphylactic reaction after exercise‐induced anaphylaxis due to a single intraarticular injection of diclofenac etalhyaluronate sodium. Case Presentation A 60‐year‐old woman felt dyspnea, generalized itching, and urticaria following hypotension...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2022-01-01
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| Series: | Acute Medicine & Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/ams2.729 |
| _version_ | 1797976120823382016 |
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| author | Youichi Yanagawa Kei Jitsuiki Yoshihiro Kushida Itaru Morohashi |
| author_facet | Youichi Yanagawa Kei Jitsuiki Yoshihiro Kushida Itaru Morohashi |
| author_sort | Youichi Yanagawa |
| collection | DOAJ |
| description | Background There has been no English report of repeated anaphylactic reaction after exercise‐induced anaphylaxis due to a single intraarticular injection of diclofenac etalhyaluronate sodium. Case Presentation A 60‐year‐old woman felt dyspnea, generalized itching, and urticaria following hypotension a few minutes after receiving an intraarticular injection of diclofenac etalhyaluronate sodium for the first time. She immediately received intramuscular adrenaline administration and her symptoms subsided. However, she received intermittent injections of adrenaline three times for repeated anaphylactic reactions after walking over a 3‐day period, in addition to complication with Kounis syndrome. She was discharged on foot on day 9 without sequelae. Conclusion Physicians should have patients who receive intraarticular injection of diclofenac etalhyaluronate sodium walk for a short period and evaluate their status. |
| first_indexed | 2024-04-11T04:46:18Z |
| format | Article |
| id | doaj.art-15838a29f5de438aa397b06512db49b4 |
| institution | Directory Open Access Journal |
| issn | 2052-8817 |
| language | English |
| last_indexed | 2024-04-11T04:46:18Z |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Acute Medicine & Surgery |
| spelling | doaj.art-15838a29f5de438aa397b06512db49b42022-12-27T12:22:50ZengWileyAcute Medicine & Surgery2052-88172022-01-0191n/an/a10.1002/ams2.729Repeated anaphylactic reaction after walking following an intraarticular injection of diclofenac etalhyaluronate sodium during a 3‐day periodYouichi Yanagawa0Kei Jitsuiki1Yoshihiro Kushida2Itaru Morohashi3Department of Acute Critical Care Medicine, Shizuoka Hospital Juntendo University Izunokuni City Shizuoka JapanDepartment of Acute Critical Care Medicine, Shizuoka Hospital Juntendo University Izunokuni City Shizuoka JapanDepartment of Acute Critical Care Medicine, Shizuoka Hospital Juntendo University Izunokuni City Shizuoka JapanDepartment of Orthopedics, Shizuoka Hospital Juntendo University Izunokuni City Shizuoka JapanBackground There has been no English report of repeated anaphylactic reaction after exercise‐induced anaphylaxis due to a single intraarticular injection of diclofenac etalhyaluronate sodium. Case Presentation A 60‐year‐old woman felt dyspnea, generalized itching, and urticaria following hypotension a few minutes after receiving an intraarticular injection of diclofenac etalhyaluronate sodium for the first time. She immediately received intramuscular adrenaline administration and her symptoms subsided. However, she received intermittent injections of adrenaline three times for repeated anaphylactic reactions after walking over a 3‐day period, in addition to complication with Kounis syndrome. She was discharged on foot on day 9 without sequelae. Conclusion Physicians should have patients who receive intraarticular injection of diclofenac etalhyaluronate sodium walk for a short period and evaluate their status.https://doi.org/10.1002/ams2.729anaphylaxisdiclofenac etalhyaluronate sodiumintraarticular injectionKounis syndrome |
| spellingShingle | Youichi Yanagawa Kei Jitsuiki Yoshihiro Kushida Itaru Morohashi Repeated anaphylactic reaction after walking following an intraarticular injection of diclofenac etalhyaluronate sodium during a 3‐day period Acute Medicine & Surgery anaphylaxis diclofenac etalhyaluronate sodium intraarticular injection Kounis syndrome |
| title | Repeated anaphylactic reaction after walking following an intraarticular injection of diclofenac etalhyaluronate sodium during a 3‐day period |
| title_full | Repeated anaphylactic reaction after walking following an intraarticular injection of diclofenac etalhyaluronate sodium during a 3‐day period |
| title_fullStr | Repeated anaphylactic reaction after walking following an intraarticular injection of diclofenac etalhyaluronate sodium during a 3‐day period |
| title_full_unstemmed | Repeated anaphylactic reaction after walking following an intraarticular injection of diclofenac etalhyaluronate sodium during a 3‐day period |
| title_short | Repeated anaphylactic reaction after walking following an intraarticular injection of diclofenac etalhyaluronate sodium during a 3‐day period |
| title_sort | repeated anaphylactic reaction after walking following an intraarticular injection of diclofenac etalhyaluronate sodium during a 3 day period |
| topic | anaphylaxis diclofenac etalhyaluronate sodium intraarticular injection Kounis syndrome |
| url | https://doi.org/10.1002/ams2.729 |
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