¿Son seguros los productos naturales analgésicos en los pacientes con alergia a los antiinflamatorios no esteroideos?

Iván Chérrez-Ojeda; Juan Carlos Calderón; Erick Calero; César Terán; Annia Cherrez

doi:10.29262/ram.v65i1.258

Vol. 65 No. 1 (2018), Case clinical reports

Vol. 65 No. 1 (2018)

Are natural analgesic products safe in patients with allergy to non-steroidal anti-inflammatory drugs?

Case clinical reports

Published 2018-04-10

Iván Chérrez-Ojeda⁺⁻
Juan Carlos Calderón⁺⁻
Erick Calero⁺⁻
César Terán⁺⁻
Annia Cherrez⁺⁻

Iván Chérrez-Ojeda

Universidad de Especialidades Espíritu Santo, Facultad de Medicina, Samborondón,

http://orcid.org/0000-0002-1610-239X

Juan Carlos Calderón

Universidad de Especialidades Espíritu Santo, Facultad de Medicina, Samborondón,

http://orcid.org/0000-0003-3889-9309

Erick Calero

Universidad de Especialidades Espíritu Santo, Facultad de Medicina, Samborondón,

http://orcid.org/0000-0002-7646-3074

César Terán

Universidad de Especialidades Espíritu Santo, Facultad de Medicina, Samborondón,

http://orcid.org/0000-0001-6150-2299

Annia Cherrez

Universidad de Especialidades Espíritu Santo, Facultad de Medicina, Samborondón,

http://orcid.org/0000-0002-1597-9915

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Keywords

Complementary therapies
Non-steroidal anti-inflammatory drugs
Hypersensitivity

Abstract

Background: Nonsteroidal anti-inflammatory drugs (NSAID)-induced hypersensitivity reactions can be clinically apparent with asthma, rhinosinusitis, anaphylaxis or rash. Although natural anti-inflammatory products can have similar components, they are not subjected to rigorous quality control standards.

Case report: The case is presented of a 22-year-old female with NSAID allergy who attended with facial and laryngeal angioedema associated with pruritus in eyelids and pharynx. She developed these symptoms fifteen minutes after taking an over-the-counter (OTC) natural anti-inflammatory product. She received treatment with epinephrine, antihistamines and corticosteroids.

Conclusion: Different natural anti-inflammatory products are freely available both OTC and online. Some contain dangerous substances that can cause important, and even lethal. side effects. Allergologists, dermatologists and general practitioners should be able to recognize that the consumption of these products, which is widely spread, can cause angioedema.

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PubMed

References

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