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Allergy to Local Anesthetics
J. Antonio Aldrete, MD;
David A. Johnson, MD
JAMA. 1969;207(2):356-357.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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Patients frequently relate a history suggesting allergy to local anesthetic drugs which have been commonly recognized as causing dermatitis and systemic reactions.1 However, there appears to be a wide discrepancy between the actual incidence and the emphasis placed on them by textbooks and lectures. Patients who have such a suggestive history are often denied the benefits of local or regional anesthesia. Anesthetists and surgeons have been in somewhat of a dilemma because most reactions to local anesthetics are the result of overdosage, concomitant medication, or apprehension. Intracutaneous testing has been considered of little, if any, value in investigation of the suspected allergies.2 We have instituted a reinvestigation of this method and believe it may be of clinical importance. The following case report is presented as an example.
Report of a Case
A 40-year-old woman was admitted to Colorado General Hospital for diagnosis and evaluation of an enlarged osteoblastic
. . . [Full Text PDF of this Article]
Author Affiliations
From the Division of Anesthesiology, University of Colorado Medical Center and the Veterans Administration Hospital, Denver.
Footnotes
William K. Hamilton, MD, Department of Anesthesia, University of California Medical Center, San Francisco, is editor of the Anesthesia Problem of the Month series.
Reprint requests to University of California Medical Center, San Francisco 94122 (Dr. Hamilton).
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