2009, Número 3
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Alerg Asma Inmunol Pediatr 2009; 18 (3)
Desensibilización para L-asparaginasa. Reporte de un caso en hospital de tercer nivel
Hernández NL, Álvarez CA, Gómez N, Castorena I, Pedroza MÁ, Huerta LJG
Idioma: Español
Referencias bibliográficas: 27
Paginas: 121-125
Archivo PDF: 55.20 Kb.
RESUMEN
Durante la administración repetida de cualquier droga, todos los pacientes son susceptibles a presentar reacciones de hipersensibilidad, ameritando con ello la suspensión del fármaco. Sin embargo existen casos especiales en los que es necesario continuar algunas drogas ante la falta de otras opciones de tratamiento, considerándose la desensibilización una opción para lograrlo. La hipersensibilidad a ciertos antineoplásicos llevó a la creación de nuevos fármacos con menor inmunogenicidad para evitarla, no obstante en aquellos países donde no están disponibles, los protocolos de desensibilización son sumamente importantes para completar el tratamiento de aquellos pacientes que han presentado una reacción mediada por anticuerpos. Se presenta el caso de un paciente pediátrico con leucemia linfoblástica aguda y reacción anafiláctica a L-asparaginasa que amerita la readministración del fármaco para completar inducción a la remisión en su segunda recaída.
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