Introducción: El dolor neuropático es, en numerosas ocasiones, un dolor de difícil manejo que precisa la combinación de diferentes grupos terapéuticos para su control óptimo.
Método: La lidocaína es un anestésico local y su uso endovenoso es necesario ocasionalmente para el tratamiento del dolor neuropático; no hay experiencia en su uso domiciliario.
Resultados: Realizamos la infusión endovenosa domiciliaria con lidocaína en 2 pacientes con dolor neuropático refractario con mejoría clínica.
Conclusiones: La infusión de lidocaína endovenosa en domicilio es una técnica segura y eficaz en pacientes con dolor neuropático.
Food allergy represents a growing worldwide health problem. Fish are among the most common triggers of reaction. The global consumption of fish has gradually increased in daily diet 1. The estimated prevalence of food fish allergy ranges from 0% to 7%, differing according to geographical areas2. The subjacent pathophysiologic mechanism is mainly IgE-mediated, where symptoms range from urticaria to anaphylaxis. Sensitization usually starts during childhood and persists lifelong, having avoidance as the only therapeutic option 1, 3. Even IgE non-mediated reactions (including food protein-induced enterocolitis syndrome) have been associated with the fish intake 2, 4. Parvalbumin, an acidic calcium-binding protein that is resistant to heat and digestive enzymes is considered a major fish allergen with high cross-reactivity across fish species 1, 5.Mediterranean silverside (Atherinaboyeri) is a fish from the Atherinidae family, belonging to Atherina genus. A. boyeriis also named pejerrey and tolerates low-salinity water, living in the Mediterranean and other seas. Here we
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