Reactions 1704, p227 - 2 Jun 2018 Type IV hypersensitivity: case report A 75-year-old man developed type IV hypersensitivity following lidocaine [lignocaine] administration for anaesthesia [route, dosage and time to reaction not stated]. The man, who had undergone two teeth extractions, had received lidocaine as an anaesthetic agent. In addition to this, bufexamac, amalgam and mercury were used during extraction procedure. After three days of the dental procedure, his face became red and swollen to the point he could not open his eyes. The man received treatment with prednisone, after which his swelling was improved. An examination revealed a mild diffuse erythema with fine overlying desquamation. Subsequently, the swelling completely subsided. Based on his history, timeline and examination, a delayed contact allergy was suspected. Patch testing revealed a strongly positive reaction for lidocaine. The reaction to lidocaine was deemed to be the cause of his facial swelling and erythema. Author comment: "The reaction to lidocaine was deemed to be the cause of his facial swelling and erythema." "Though Type IV hypersensitivity to lidocaine is considered very rare, evidence suggests increase prevalence." Dickison P, et al. Biting down on the truth. Australasian Journal of Dermatology 59 (Suppl. 1): 13, May 2018. Available from: URL: http://doi.org/10.1111/ ajd.8_12815 [abstract] - Australia 803323592 0114-9954/18/1704-0001/$14.95 Adis © 2018 Springer International Publishing AG. All rights reserved Reactions 2 Jun 2018 No. 1704
Reactions Weekly – Springer Journals
Published: Jun 2, 2018
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