[Patent blue V : inert dye or potent allergen].
Patent blue V is widely used as a food dye. Clinically, patent blue V dye has been increasingly used in oncological surgery to identify the sentinel lymph nodes in breast cancer and other malignancies. The case of a patient who developed severe anaphylactic shock to subcutaneous injection of patent blue V during breast surgery is presented. The clinical course and the anesthesiological management are presented, and the pitfalls that may delay the correct diagnosis are highlighted.
Klinik für Anaesthesiologie und Intensivmedizin, Universitätsklinikum Tübingen, Hoppe-Seyler-Str. 3, 72076 Tübingen, Deutschland.
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Rogler
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Röhm
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Reutershan
D000485:Allergens / Q000009:adverse effects*; D000707:Anaphylaxis / Q000209:etiology*; D000758:Anesthesia; D001943:Breast Neoplasms / Q000601:surgery; D004396:Coloring Agents / Q000009:adverse effects*; D004342:Drug Hypersensitivity / Q000150:complications*; D005260:Female; D006801:Humans; D008197:Lymph Node Excision; D008875:Middle Aged; D016343:Monitoring, Intraoperative; D011182:Postoperative Care; D012394:Rosaniline Dyes / Q000009:adverse effects*; D021701:Sentinel Lymph Node Biopsy
D000485:Allergens; D004396:Coloring Agents; D012394:Rosaniline Dyes; C008769:sulfan blue
Patentblau V : Inerter Farbstoff oder potentes Allergen?