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Provocation Test-Confirmed Chlorhexidine-Induced Anaphylaxis in Dental Procedure

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To the Editor: Chlorhexidine (CHL) is a widely used broad‐spectrum antiseptic and disinfectant. First used as a topical antimicrobial agent, CHL is now available in different forms and is present… Click to show full abstract

To the Editor: Chlorhexidine (CHL) is a widely used broad‐spectrum antiseptic and disinfectant. First used as a topical antimicrobial agent, CHL is now available in different forms and is present in various settings.[1] CHL has the potential to cause Type I and Type IV hypersensitivity reactions, varying from mild cutaneous reactions to anaphylaxis.[2] An increased recognition of CHL‐induced hypersensitivity parallels the increased use of CHL in medical care and the increased awareness of allergy.[3] CHL is an important but easily overlooked allergen, and a provocation test (which serves as the gold standard) is usually difficult to perform. Here, we report a rare case of provocation test‐confirmed CHL anaphylaxis during a dental procedure.

Keywords: dental procedure; provocation test; test confirmed; anaphylaxis dental; provocation

Journal Title: Chinese Medical Journal
Year Published: 2018

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