A case of human insulin allergy induced by short-acting and intermediate-acting insulin but not by long-acting insulin

被引:16
作者
Adachi, A
Fukunaga, A
Horikawa, T
机构
[1] Hyogo Prefectural Kakogawa Hosp, Dept Dermatol, Kakogawa 6758555, Japan
[2] Kobe Univ, Grad Sch Med, Dept Dermatol, Kobe, Hyogo, Japan
关键词
D O I
10.1111/j.1365-4632.2004.02141.x
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
A 66-year-old woman suffering from pollinosis developed generalized urticaria after injection of intermediate-acting insulin for diabetes mellitus. She had human insulin-specific IgE, and in skin tests was positive for human recombinant insulin and negative for additives. Uniquely, she reacted to fast-acting and slow-acting insulin but not to long-acting insulin. We further confirmed that human insulin preparations could stimulate her peripheral basophils to release a significant amount of histamine. Genetically generated human insulin analogs, aspart and lispro, induced positive skin tests and histamine release from basophils. She was recommended to use a long-acting insulin preparation and was free from symptoms thereafter.
引用
收藏
页码:597 / 599
页数:3
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