PMID- 11070509 OWN - NLM STAT- MEDLINE DCOM- 20010202 LR - 20190915 IS - 0104-4230 (Print) IS - 0104-4230 (Linking) VI - 46 IP - 3 DP - 2000 Jul-Sep TI - [Clinical findings of sensitivity to analgesics and nonsteroidal antiinflammatory drugs]. PG - 201-6 AB - BACKGROUND: Analgesics (ANA) and nonsteroidal antiinflammatory drugs (NSAID) may simulate an allergic reaction or aggravate asthma and urticaria. OBJECTIVE: The aim of this study was the analysis of the clinical findings in patients sensitive to ANA/NSAID. METHODS AND SUBJECTS: The charts of 183 patients with history of reacting to these drugs were retrospectively analysed. RESULTS: There were 93 (51%) females and 90 (49%) males; 63 (34%) were aged 15 years or less. Females predominate in the age group older than 15 years (p = 0,02). The age by the time of the first reaction varied from 7 months to 65 years (median 15 years). Skin tests to inhalant allergens were positive to at least one antigen in 100/138 patients (72%). Clinical presentation was angioedema (86%); urticaria (39%); systemic reaction (30%); nasal and ocular (15%); and asthma (14%). The frequency of symptoms was not related to age. Family history of ANA/NSAID sensitivity was present in 3.8% of patients. Associated diseases were rhinitis (55%), chronic urticaria (47%), asthma (37%) and conjuntivitis (18%). Among asthmatics 16 (23,5%) had had attacks with ANA/NSAID. Nine non asthmatics (7.7%) had had bronchospasm as clinical presentation. This difference was statistically significant. Repeated reactions occurred in 107 (58%) patients. CONCLUSIONS: Sensitivity to ANA/NSAID was frequent in atopics; children and adults responded similarly; reactions were more common in adult females; palpebral angioedema was the most frequent clinical presentation; bronchosphasm was usually seen in asthmatics and most patients reacted repeatedly to different drugs. FAU - Rosario, N A AU - Rosario NA AD - Hospital de Clinicas, Universidade Federal do Parana, Curitiba, PR. FAU - Ribeiro, A C AU - Ribeiro AC LA - por PT - English Abstract PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. TT - Achados clinicos da sensibilidade a analgesicos e antiinflamatorios nao-hormonais. DEP - 20001116 PL - Brazil TA - Rev Assoc Med Bras (1992) JT - Revista da Associacao Medica Brasileira (1992) JID - 9308586 RN - 0 (Analgesics) RN - 0 (Anti-Inflammatory Agents, Non-Steroidal) RN - 362O9ITL9D (Acetaminophen) RN - 6429L0L52Y (Dipyrone) RN - R16CO5Y76E (Aspirin) SB - IM MH - Acetaminophen/adverse effects MH - Adolescent MH - Adult MH - Age of Onset MH - Aged MH - Analgesics/*adverse effects MH - Anti-Inflammatory Agents, Non-Steroidal/*adverse effects MH - Aspirin/adverse effects MH - Child MH - Child, Preschool MH - Dipyrone/adverse effects MH - Drug Eruptions/epidemiology/etiology MH - Drug Hypersensitivity/epidemiology/*etiology MH - Female MH - Humans MH - Infant MH - Male MH - Middle Aged MH - Retrospective Studies MH - Skin Tests EDAT- 2000/11/09 11:00 MHDA- 2001/03/03 10:01 CRDT- 2000/11/09 11:00 PHST- 2000/11/09 11:00 [pubmed] PHST- 2001/03/03 10:01 [medline] PHST- 2000/11/09 11:00 [entrez] AID - S0104-42302000000300003 [pii] AID - 10.1590/s0104-42302000000300003 [doi] PST - ppublish SO - Rev Assoc Med Bras (1992). 2000 Jul-Sep;46(3):201-6. doi: 10.1590/s0104-42302000000300003. Epub 2000 Nov 16.