학술논문

A Case of Anaphylactic Shock due to Formaldehyde in Root-canal Disinfectant / 歯根管消毒薬中のホルムアルデヒドによりアナフィラキシーショックを呈した1例
Document Type
Journal Article
Source
日本皮膚免疫アレルギー学会雑誌 / Nihon Hifu Meneki Arerugy Gakkai Zasshi. 2020, 3(3):420
Subject
anaphylaxis
dental root-canal disinfectant
formaldehyde
immediate allergy
specific IgE antibody
アナフィラキシ
ホルムアルデヒド
即時型アレルギー
歯根管消毒薬
特異的IgE抗体
Language
Japanese
ISSN
2433-7846
2433-7854
Abstract
A 41-year-old man developed urticaria, diarrhea, and hypotension following dental treatment for root-canal disinfection. The medications used included formaldehyde paste. He also developed urticaria after dental treatment 2 months prior. His symptoms improved after intramuscular injection of adrenaline, and intravenous injection of steroids and antihistamine. Based on his history of symptoms after dental treatment using formaldehyde paste and positivity to a specific immunoglobulin E against formalin, we diagnosed him with a type I allergy to formaldehyde. Many cases of immediate allergic reactions to formaldehyde have been reported. As the allergic symptoms to formaldehyde-containing medicaments have a delayed onset, clinicians may miss the cause if they do not take a full patient history.

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