scholarly journals Indocyanine Green and Fluorescein Filters Reveal Dye Staining before Clinical Development of Hives

2017 ◽  
Vol 1 (1) ◽  
pp. oapoc.0000014
Author(s):  
Carlo La Spina ◽  
Paolo Broganelli ◽  
Roberta La Selva ◽  
Christian Luigi Demasi ◽  
Giuseppe Querques
Keyword(s):  
Allergic Reaction ◽  
Indocyanine Green ◽  
Clinical Case ◽  
Original Method ◽  
Clinical Development ◽  
Clinical Appearance ◽  
Dye Staining

Purpose During retinal angiography a fluorescein-induced allergic reaction is rare but possible. Methods We report a single retrospective clinical case. Results During retinal angiography on a 75-year-old man, an unexpected allergic reaction to fluorescein (FL) dye occurred. At the beginning of the exam, we erroneously took some filtered shots of the patient's face. We noticed that the pictures of the patient's skin using the FL and indocyanine green filters revealed dye accumulation before the clinical appearance of hives. Conclusions Taking filtered shots of a patient's face could be an original method to promptly detect and easily document allergic hives, by simply using an angiographic device.

scholarly journals CLINICAL CASE OF ALLERGIC ACUTE CORONARY SYNDROME (KOUNIS SYNDROME) CAUSED BY COLD URTICARIA

2021 ◽  
Vol 19 (2) ◽  
pp. 229-235
Author(s):  
L. V. Kalatsei ◽  
◽  
V. A. Snezhitskiy ◽  
S. N. Hrib ◽  
T. G. Liskovich ◽  
...  
Keyword(s):  
Acute Coronary Syndrome ◽  
Allergic Reaction ◽  
Clinical Case ◽  
Rare Variants ◽  
Pathophysiological Mechanism ◽  
Kounis Syndrome ◽  
Cold Urticaria ◽  
Coronary Syndrome ◽  
The Given ◽  
Allergic Manifestations

Kounis syndrome is one of the rare variants of acute coronary syndrome that occurs as a result of an allergic reaction. Its main pathophysiological mechanism is coronary vasospasm. Clinically, Kounis syndrome is manifested by symptoms of both an allergic reaction and an acute coronary syndrome, and its treatment is not an easy task, since both cardiac and allergic manifestations must be treated at the same time. In the given article we describe a clinical case of diagnosis and successful treatment of Kounis syndrome caused by cold urticaria in a 58-year-old patient who was hospitalized to the Grodno Regional Clinical Cardiology Center.

scholarly journals A clinical case of acute (middle) macular neuroretinopathy

2016 ◽  
Vol 9 (3) ◽  
pp. 61-67 ◽  
Author(s):  
Marina M Lobanova ◽  
Elena L Golikova
Keyword(s):  
Indocyanine Green ◽  
Indocyanine Green Angiography ◽  
Clinical Case ◽  
Specific Treatment ◽  
Acute Onset

This study presents a case of acute (middle) macular neuroretinopathy. Acute onset of this disease corresponds with the appearance of paracentral scotomas and reddish brown lesions on the retina. The pathophysiology is unclear, but recent research suggests a microvascular etiology. Fluorescein and indocyanine green angiography usually reveal normal features. No specific treatment exists.

scholarly journals Corneal collagen cross-linking in mixed etiology keratitis treatment: a case of successful use

2021 ◽  
Vol 13 (3) ◽  
pp. 87-96
Author(s):  
Kirill V. Khripun ◽  
Yulia V. Kobinets ◽  
Pavel A. Danilov ◽  
Elizaveta S. Rozhdestvenskaya ◽  
Yulduz Sh. Nizametdinova
Keyword(s):  
Allergic Reaction ◽  
Effective Treatment ◽  
Clinical Case ◽  
Acanthamoeba Keratitis ◽  
Cross Linking ◽  
High Fluence ◽  
Corneal Inflammation ◽  
Long Time ◽  
Collagen Cross Linking ◽  
Corneal Collagen

Acanthamoeba keratitis with bacterial, fungal superinfection or without it leads to development of an aggressive and long-standing corneal inflammation; up to now, the efficacy of its treatment stays doubtful and demands further investigation. For a long time, there were discussions on the possibility and expediency of corneal collagen cross-linking (PACK-CXL photo activated chromophore for keratitis) in patients with bacterial, fungal and Acanthamoeba keratitis. This article presents a clinical case of effective treatment of mixed etiology keratitis by multiple high fluence accelerated PACK-CXL in a patient with severe local toxico-allergic reaction.

Clinical and immunological characteristics of sensitization to tropomyosins

2021 ◽  
Vol 18 (1) ◽  
pp. 73-78
Author(s):  
Marina A. Mokronosova ◽  
Tatiana M. Zheltikova
Keyword(s):  
Food Allergy ◽  
Allergic Reaction ◽  
Clinical Case ◽  
Oral Allergy Syndrome ◽  
Allergic Reactions ◽  
Allergenic Proteins ◽  
Primary Sensitization ◽  
Life Threatening ◽  
Reaction Severity ◽  
High Concentrations

Tropomyosins are a family of allergenic proteins found in large quantities in all invertebrates. Tropomyosins sensitization causes a life-threatening allergic reaction up to anaphylaxis after eating seafood. Identifying the source of primary sensitization is important to predict the allergic reaction severity. This article describes a clinical case of chronic recurrent urticaria in an 8-year-old boy with tropomyosins sensitization. An 8-year-old boy was diagnosed with the following: controlled atopic phenotype bronchial asthma, food allergy (oral allergy syndrome), and chronic recurrent spontaneous urticaria. Component diagnostics revealed IgE-aB to tropomyosins in high concentrations from 38.79 to 43.38 kUA/l and cat and dog uteroglobin and lipocalins in high concentrations from 7.79 to 43.38 kUA/l. It is necessary to specify the primary sensitizer to analyze the clinical significance of allergens that provoke sensitization to various groups of allergens. In this case, sensitization to tropomyosins is most likely described as caused by either a helminthic invasion or midge bites. Therefore, food allergic reactions to tropomyosins caused from crustaceans were not observed.

scholarly journals Mucoepidermoid carcinoma of the retromolar region: report of a clinical case

2015 ◽  
Vol 63 (1) ◽  
pp. 103-108
Author(s):  
Daliana Queiroga de Castro GOMES ◽  
Miguel Franklin Alves SILVA ◽  
Jozinete Vieira PEREIRA ◽  
Patrícia Meira BENTO ◽  
Robéria Lúcia de Queiroz FIGUEIREDO ◽  
...  
Keyword(s):  
Mucoepidermoid Carcinoma ◽  
Clinical Case ◽  
Biological Diversity ◽  
Histological Grade ◽  
Excisional Biopsy ◽  
Tumor Stage ◽  
Salivary Gland Neoplasm ◽  
Clinical Appearance ◽  
Pathological Result ◽  
Retromolar Region

Although the number of reported cases is low, mucoepidermoid carcinoma is the most common malignant salivary gland neoplasm in the oral cavity. Its etiology is unknown. Clinically, it is described as a painful or painless swelling most often seen in the palate. Due to its great biological diversity, treatment and prognosis depend on the histological grade, location, and tumor stage. The objective of the present study was to describe a clinical case of mucoepidermoid carcinoma in a Brown female patient aged 45 years. Intraoral physical examination revealed a 1.0 cm diameter, bluish bubble with clear boundaries in the left retromolar region. The bubble had been there for roughly four months. An excisional biopsy was performed to confirm the clinical diagnosis of mucocele. Yellowish mucous leaked during the excision. The anatomical-pathological result was mucoepidermoid carcinoma, after which the patient was referred to a head and neck surgeon. Hence, we emphasize the importance of early diagnosis and proper management of this disease. Even when its clinical appearance is not suggestive of malignancy, mucoepidermoid carcinoma diagnosis should be considered in cases of proliferative oral lesions.

Clinical case of acute clinical development of Chiari I malformation and hydrocephalus during pregnancy

2019 ◽  
Vol 17 (3) ◽  
pp. 132-136
Author(s):  
R. I. Davletshina ◽  
◽  
G. S. Akhmadullina ◽  
E. G. Mendelevich ◽  
E. I. Bogdanov ◽  
...  
Keyword(s):  
Clinical Case ◽  
Chiari I Malformation ◽  
Clinical Development ◽  
Chiari I

scholarly journals Clinical case of an acute toxic-allergic reaction due to single intake of methotrexate

2019 ◽  
Vol 11 (2) ◽  
pp. 53-58
Author(s):  
Vadim I. Mazurov ◽  
Mikhail S. Shostak ◽  
Elena Yu. Kalinina ◽  
Victor V. Ripachev ◽  
Roman A. Bashkinov
Keyword(s):  
Case Report ◽  
Psoriatic Arthritis ◽  
Allergic Reaction ◽  
Laboratory Tests ◽  
Clinical Case ◽  
Low Dose ◽  
Current Treatment ◽  
Treatment Recommendations ◽  
Dose Methotrexate ◽  
Acute Toxic

This is the case report of an acute allergic reaction in a patient with psoriatic arthritis due to a single intake of low-dose methotrexate. We review the presentation, laboratory tests and results of autopsy. The management of the disease and its outcome were analyzed according to current treatment recommendations for psoriatic arthritis.

scholarly journals Clinical case: severe course of adenoviral conjunctivitis with a hemorrhagic component complicated by a toxic-allergic reaction against a pregnancy

2018 ◽  
Vol 9 (1) ◽  
pp. 76-81
Author(s):  
V. N. Trubilin ◽  
E. G. Poluninа ◽  
D. V. Andzhelova ◽  
E. A. Kasparova ◽  
Yu. V. Evstigneeva
Keyword(s):  
Allergic Reaction ◽  
Blood Test ◽  
Clinical Case ◽  
Clinical Signs ◽  
Clinical Manifestations ◽  
Clinical Feature ◽  
Adenovirus Infection ◽  
Close Attention ◽  
Complex Approach ◽  
Comprehensive Examination

One of the manifestations of adenovirus keratoconjunctivitis – extensive subconjunctival hemorrhages – is the characteristic of rather rare hemorrhagic form of conjunctivitis of severe course. Patients, especially pregnant women, with clinical manifestations of adenoviral conjunctivitis of severe course with a hemorrhagic component complicated by a toxic-allergic reaction, require close attention not only from ophthalmologists. It is necessary to conduct a comprehensive examination, including: general blood test, coagulogram, consultation of the therapist. Clinical signs of deterioration, in the early days of the disease, against the backdrop of treatment, is a clinical feature of the course of adenovirus infection, which should be informed to the patient. The use of a complex approach using the domestic non-toxic inducer of interferon formation of Poludan (polyA:polyU complex) in instillations and injections, supplemented by scraping-massage with a glass rod of the tarsal conjunctiva, facilitating the elimination of adenovirus from conjunctival follicles, quickly and effectively reversed the phenomenon of severe AVC. The appointment of corticosteroid therapy, regardless of the severity of the toxic-allergic reaction, is shown no earlier than 7 days after the manifestation of the disease.

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