Korean J Asthma Allergy Clin Immunol.  2011 Sep;31(3):223-225.

A Case of Anaphylaxis Occurred after Fluorescein Angiography

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.


MeSH Terms

Anaphylaxis
Angiography
Dyspnea
Epinephrine
Erythema
Female
Fluorescein
Fluorescein Angiography
Humans
Hypotension
Infusions, Intravenous
Middle Aged
Neck
Skin
Unconsciousness
Epinephrine
Fluorescein
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