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KMID : 0854720110310030223
Korean Journal of Asthma, Allergy and Clinical Immunology
2011 Volume.31 No. 3 p.223 ~ p.225
A Case of Anaphylaxis Occurred after Fluorescein Angiography
Lee Suh-Young

Kim Ju-Young
Kang Min-Gyu
Kim Mi-Young
Song Woo-Jung
Jung Jae-Woo
Kang Hye-Ryun
Abstract
Background: Fluorescein angiography is the standard tool for the diagnosis of vitreoretinal diseases. Fluorescein sodium has been widely used for decades. Although its adverse reactions are mostly non-immunologic and mild, fatal reactions, such as anaphylaxis, occur rarely.

Case History: A 64-year-old woman experienced erythema on her face and neck, dyspnea, hypotension and loss of consciousness immediately after injection of fluorescein for angiography. Her symptoms recovered after intravenous infusion of fluid along with injection of epinephrine, steroid and antihistamine.

Results: The skin prick test showed a positive reaction to fluorescein sodium.

Conclusion: Based on her symptoms and the skin prick test result, the patient was diagnosed with fluorescein-induced anaphylaxis.
KEYWORD
Anaphylaxis, Fluorescein, Angiography
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