[Anesthetic management of a patient with Sjögren's syndrome associated with an allergic reaction to various antiphlogistics and sedatives].
We described the anesthetic management of a 24-year-old woman with Sjögren's syndrome, complicated by systemic lupus erythematosus, rheumatoid arthritis and renal tubular acidosis. She not only had hepatorenal dysfunction associated with this condition, but also had allergic reactions to various antiphlogistics and sedatives. In selecting anesthesia for the present case, care was taken to choose anesthesia that would cause no aggravation of the injured hepatorenal function. Application of nitrous oxide and isoflurane for the induction and maintenance of anesthesia enabled us to a control the patient without special problems. Artificial nose and belladonna were also used for the treatment of dryness of the respiratory and digestive systems and other mucosae. With regard to the patient's allergic predisposition, simple medications were used with sufficient care.
Fukui
A
A
Department of Anesthesiology, Kawasaki Medical School, Kurashiki.
Nakashima
Y
Y
Kimura
K
K
D000328:Adult; D000769:Anesthesia, Inhalation; D000893:Anti-Inflammatory Agents / Q000009:adverse effects*; D004342:Drug Hypersensitivity / Q000150:complications*; D005260:Female; D006801:Humans; D006993:Hypnotics and Sedatives / Q000009:adverse effects*; D012859:Sjogren's Syndrome / Q000150:complications*; D013514:Surgical Procedures, Operative
D000893:Anti-Inflammatory Agents; D006993:Hypnotics and Sedatives