SciELO - Scientific Electronic Library Online

 
vol.34 issue1Reflections on the birth and development of our speciality in Chile. Celebrating the 50° Congress of Chilean Society of Respiratory DiseasesChest pain and hemothorax: an atypical presentation of a pulmonary sequestration author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand

Journal

Article

Indicators

Related links

  • On index processCited by Google
  • Have no similar articlesSimilars in SciELO
  • On index processSimilars in Google

Share


Revista chilena de enfermedades respiratorias

On-line version ISSN 0717-7348

Abstract

DURAN W., María Ignacia et al. Hipersensitivity to corticosteroids and management of severe bronchial asthma. Case study. Rev. chil. enferm. respir. [online]. 2018, vol.34, n.1, pp.48-54. ISSN 0717-7348.  http://dx.doi.org/10.4067/s0717-73482018000100048.

Hypersensitivity reactions to corticosteroids are rare in the general population, they fall into two categories: ‘immediate’, typically mediated by immunoglobulin E (IgE), which includes anaphylaxis after administration of a drug in a short period of time. Its reported prevalence is 0.3-0.5%. Another reaction is ‘not immediate’, which manifests itself in a time longer than one hour after the administration of the drug. We reviewed the literature with the aim of improving and clarifying the treatment in asthmatic patients with this condition. It was found that the possible routes to generate these reactions are intranasal, aerosol by inhaler, oral and parenteral. Facing this condition requires a close and detailed evaluation of the clinical history, symptoms and side reactions to the suspected drug. Finally, when choosing which corticosteroid to use, the patient's safety is paramount, and control of the disease is also essential.

Keywords : Anaphylaxis; Asthma; Immunoglobulin E; Adrenal cortex hormones; Nebulizers; vaporizers.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )