title: Severe anaphylactoid reaction to hydroxyethyl starch.
abstract: A case is presented of a severe anaphylactoid reaction to hydroxyethyl starch solution that occurred peri-operatively and required extended intensive management of the resultant bronchospasm and hypotension. Subsequent intradermal injection of hetastarch produced a delayed positive response, suggestive of a complement-mediated mechanism.
authors.affiliation: Middlesex Hospital, London.
authors.forename: M J
authors.initials: MJ
authors.lastname: Cullen
authors.forename: M
authors.initials: M
authors.lastname: Singer
mesh_terms: D000368:Aged; D000707:Anaphylaxis / Q000139:chemically induced*; D000758:Anesthesia; D003875:Drug Eruptions / Q000209:etiology; D004342:Drug Hypersensitivity / Q000209:etiology; D005260:Female; D006801:Humans; D006895:Hydroxyethyl Starch Derivatives / Q000009:adverse effects*; D007431:Intraoperative Complications / Q000209:etiology; D008168:Lung / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology*
chemical_list: D006895:Hydroxyethyl Starch Derivatives