Late-onset pulmonary edema and disseminated intravascular coagulation due to latex anaphylaxis


İNAL M. T., MEMİŞ D., TOP H., Bahar M., ÇELİK E., Sikar E. Y., ...Daha Fazla

Aesthetic Plastic Surgery, cilt.34, sa.3, ss.394-396, 2010 (SCI-Expanded, Scopus) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 34 Sayı: 3
  • Basım Tarihi: 2010
  • Doi Numarası: 10.1007/s00266-009-9412-2
  • Dergi Adı: Aesthetic Plastic Surgery
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.394-396
  • Anahtar Kelimeler: Anaphylaxis, DIC, Tissue expanders
  • Trakya Üniversitesi Adresli: Evet

Özet

Background Anaphylaxis after the administration of tissue expanders has been reported. Late onset hypotension, thrombocytopenia, disseminated intravascular coagulation (DIC) and pulmonary edema due to the tissue expanders have not been reported. Methods In this case report, late onset hypotension, thrombocytopenia, disseminated intravascular coagulation and pulmonary edema due to the administration of tissue expanders were described. Results The authors report a 16-year-old girl with burn scar deformities scheduled for reconstruction of the scar contractures with insertion of tissue expanders in which the administration of latex tissue expanders was associated with late onset hypotension, thrombocytopenia, disseminated intravascular coagulation and pulmonary edema. Skin tests performed for latex demonstrated strong positive weal and flare reactions. Conclusion Late onset anaphylactic reactions due to latex tissue expanders, an unusual unpredictable adverse reaction, must be kept in mind. Early recognition and proper emergent treatment are essential to reversing this complication. © Springer Science+Business Media, LLC and International Society of Aesthetic Plastic Surgery 2009.