Anaphylaxis induced by intra‐articular injection of chitosan: A case report and literature review

Peng, Shengxin; Liang, Yuanhao; Xiao, Wenshan; Liu, Yang; Yu, Mengya; Liu, Lei

doi:10.1002/ccr3.6596

Cited by 4 publications

(3 citation statements)

References 21 publications

(29 reference statements)

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“…Although the erythema worsened with standing 14 h after aspiration of the joint fluid, no respiratory or circulatory symptoms occurred. In another case report of intra‐articular chitosan‐induced anaphylaxis, the patient completely recovered 1 h after the injection 5 . Therefore, although joint fluid aspiration might not be necessary for all cases of anaphylaxis due to joint injection, the agent injected into the joint is important to our decision.…”

Section: Discussionmentioning

confidence: 99%

“…In another case report of intra‐articular chitosan‐induced anaphylaxis, the patient completely recovered 1 h after the injection. 5 Therefore, although joint fluid aspiration might not be necessary for all cases of anaphylaxis due to joint injection, the agent injected into the joint is important to our decision. These two cases indicate that aspiration of joint fluid might be one of the treatment options for anaphylactic shock following an intra‐articular injection of diclofenac etalhyaluronate sodium because the trigger might remain in the joint cavity for a longer time because of the drug's long half‐life.…”

Section: Discussionmentioning

confidence: 99%

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Anaphylactic shock due to intra‐articular injection of diclofenac etalhyaluronate sodium: A case report

Yatabe,

Mizutani,

Ito

et al. 2023

Acute Medicine & Surgery

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BackgroundAnaphylactic shock of diclofenac etalhyaluronate agent can be prolonged and recurrent. However, its reports are rare, and consequently, its method of management remains to be established.Case PresentationA 65‐year‐old woman received an intra‐articular injection of diclofenac and hyaluronate. After 20 min, systemic urticaria and severe hypotension developed after walking. After an intramuscular adrenaline injection, she was transferred to our hospital. Despite administration of continuous noradrenaline and adrenaline, hypotension persisted. Seven hours after the joint injection, 25 mL of knee joint fluid was aspirated under ultrasound guidance. Mobilization was performed 24 h after joint injection. However, urticaria rapidly spread after standing. At 45 and 46 h after joint injection, we confirmed that no symptoms, including urticaria, recurred after walking.ConclusionAnaphylactic shock due to intra‐articular injection of diclofenac etalhyaluronate is prolonged and requires extended observation. Aspiration of joint fluid may be one of the treatment options.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Anaphylactic shock due to intra‐articular injection of diclofenac etalhyaluronate sodium: A case report

Yatabe,

Mizutani,

Ito

et al. 2023

Acute Medicine & Surgery

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“…Hydrolyzed products formed during this process and its further impact over gastrointestinal tract must be assessed. Natural polymers such as chitosan can cause allergic reactions in some people since they are derived from biological sources [73,74].…”

Section: Edible Films: Are They Edible?mentioning

confidence: 99%

Advancements in the biopolymer films for food packaging applications: a short review

Shah,

Bhatia,

Al-Harrasi

et al. 2024

Biotechnol Sustain Mater

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Plastic-based films that are commonly used in the food packaging industry are tough to recycle due to their sorting issue and these films do not decay as they photodegrade into microplastics. These microplastics transport from the air and accumulate in soil, storm drains, and waterways. Recent initiatives in the food packaging industry have led to the development of edible and biodegradable films as sustainable alternatives to synthetic polymer-based plastics. These films, which are biocompatible, biodegradable, and serve as protective coatings on food surfaces, are designed to enhance shelf life by guarding against oxidation, moisture, and microbial spoilage. Recent advancements in polymeric films resulted in the development of high-performance, UV-blocking, nano-engineered, and intelligent pH-sensitive films, along with multilayer, heat-sealable, and active variants. These advanced materials not only prevent food deterioration but also facilitate the early detection of spoilage. However commercial success of these films which have been developed at a lab scale is still challenging due to unsatisfactory mechanical, barrier, thermal, and optical properties than synthetic films. Furthermore, an in-depth understanding related to human interaction, biodegradability, safety studies, scalability, and machinability is required to develop sustainable bioplastic films. Graphical Abstract

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Postinjection Care and Education

Snaebjörnsson

2024

Musculoskeletal Injections Manual

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Anaphylaxis induced by intra‐articular injection of chitosan: A case report and literature review

Abstract: Generally, we consider chitosan being a safe, nontoxic natural polymer with wide clinical applications. However, allergic reactions caused by chitosan have been reported on rare occasions. We report here a case of allergy and perform a literature review.

Cited by 4 publications

References 21 publications

Anaphylactic shock due to intra‐articular injection of diclofenac etalhyaluronate sodium: A case report

Anaphylactic shock due to intra‐articular injection of diclofenac etalhyaluronate sodium: A case report

Advancements in the biopolymer films for food packaging applications: a short review

Postinjection Care and Education

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