Successful Finding of Local Anesthetics for a Girl with Local Lidocaine Anaphylaxis
Jun Won Hwangbo, Hae-Ran Lee and So-Yeon Lee*
Department of Pediatrics, College of Medicine, Hallym University, Korea
- *Corresponding Author:
- So-Yeon Lee, M.D., PhD
Department of pediatrics
Hallym University Sacred Heart Hospital
896, Pyeongchon-dong, Dongan-gu
Anyang, Gyeonggi-do, 431-070, Korea
E-mail: [email protected]
Received Date: May 08, 2013; Accepted Date: May 24, 2013; Published Date: May 30, 2013
Citation: Hwangbo JW, Lee HR, Lee SY (2013) Successful Finding of Local Anesthetics for a Girl with Local Lidocaine Anaphylaxis. Pediat Therapeut 3:143. doi:10.4172/2161-0665.1000143
Copyright: © 2013 Hwangbo JW, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
A 16-year-old-girl with a past medical history of lidocaine anaphylaxis requested an allergy test to find a local anesthetic (LA) agent with no adverse allergic reactions for her ingrown toenail treatment. A skin prick test (SPT) and intradermal test were administered using lidocaine, procaine, bupivacaine, mepivacaine and ropivacaine. All LA agents used in the SPT showed negative result. An intradermal test was then administered and lidocaine, procaine, bupivacaine, and mepivacaine showed positive results while ropivacaine showed negative results. Based on these results, a subcutaneous challenge with ropivicaine was performed showing no local or systemic symptoms. The next day the girl was discharged and her ingrown toenail was successfully treated with ropivicaine with no adverse reactions or symptoms. All physicians should be aware of the risk of local anesthetics and consider the possibility of cross-reactivities within both the ester and amide group to prevent any adverse allergic reactions.