Anaphylactoid reaction to high-dose methotrexate and successful desensitization.

Abstract:

:Anaphylactic/anaphylactoid reaction to methotrexate (MTX) is uncommon. It may occur with the first dose (non-allergic reactions) or after a previous exposure to the drug (allergic or specific reactions). Desensitization has been shown effective in children with allergic-type reactions permitting the continuation of high-dose methotrexate (HDMTX) therapy. We report the case of a child with localized osteosarcoma who developed an anaphylactoid reaction after a first HDMTX course. A desensitization protocol was successfully applied allowing the administration of four additional courses. In our experience, desensitization can be a safe and effective procedure in children with anaphylactoid reactions to HDMTX.

journal_name

Pediatr Blood Cancer

journal_title

Pediatric blood & cancer

authors

Oulego-Erroz I,Maneiro-Freire M,Bouzón-Alejandro M,Vázquez-Donsión M,Couselo JM

doi

10.1002/pbc.22616

subject

Has Abstract

pub_date

2010-09-01 00:00:00

pages

557-9

issue

3

eissn

1545-5009

issn

1545-5017

journal_volume

55

pub_type

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