HIPERSENSIBILIDADE AO AZUL PATENTE EM SETORECTOMIA DE MAMA: UM RELATO DE CASO

Autores

  • Bruna Pietrobelli Migliorini
  • Ianka Reichert
  • Elves Becker Filho
  • Luca Zillio Enricone
  • Karina Cipriani

DOI:

https://doi.org/10.51161/rems/1577

Palavras-chave:

AZUL PATENTE, HIPERSENSIBILIDADE, SETORECTOMIA, MAMA

Resumo

Introdução: Durante os procedimentos para ressecção tumoral, é preconizado a identificação do linfonodo sentinela e respectiva biópsia, utiliza-se o corante azul patente ou o radiofármaco tecnésio, de forma isoladas ou em asssociação. No entanto, alguns pacientes apresentam reações de hipersensibilidade IgE, sendo que a incidência varia de 0,1 a 2%. Relato de Caso: K.R.S.G, 52 anos, diagnosticada com câncer de mama com presença de nódulo em mama direita, móvel, firme, irregular e indolor, medindo 2,6 cm, distando 1cm de CAP, em contato íntimo com a cápsula fibrosa do implante mamário. Nega alergias, comorbidades e fumo. Durante o ato operatório, o qual foi indicado para a paciente, setorectomia de mama direita, com biopsia de linfonodo sentinela, a paciente apresentou alergia ao Azul de Patente, com formação de placas em região axilar e braço direito e eritema em braço esquerdo. Foi tratada, satisfatoriamente, com infusão de corticoide durante o transoperatório. Evoluiu, sem intercorrências, na sala de recuperação pós‐anestésica. Discussão: Como relatado anteriormente, o azul patente tem apresentado reações de hipersensibilidade em pacientes durante a cirurgia. Os sinais mais precoces de reação alérgica são “rasch” cutâneo, hipotensão e, posteriormente, edema de vias aéreas. O tratamento varia de acordo com a gravidade do quadro alérgico, apresentado pelo paciente. Nos quadros leves de sensibilidade demanda o uso de corticosteroides e anti‐histamínicos. Já nos pacientes ditos mais críticos poderá ser necessário vasopressor e reposição volêmica com cristaloide. Os pacientes, independente do grau da hipersensibilidade, devem ser mantidos na sala de recuperação pós‐anestésica por breve momento, mesmo que hemodinamicamente estáveis. Conclusão:  Para minimizar reações adversas na utilização do azul patete, observa-se que, apesar de registrar históricos de alergia do paciente, deve-se ficar atento para a ocorrência de reações de hipersensibilidade no ato cirúrgico, especialmente, pela existência dos campos.

Publicado

2021-07-28

Como Citar

Migliorini , B. P. ., Reichert, I. ., Filho, E. B. ., Enricone, L. Z. ., & Cipriani, K. . (2021). HIPERSENSIBILIDADE AO AZUL PATENTE EM SETORECTOMIA DE MAMA: UM RELATO DE CASO. Revista Multidisciplinar Em Saúde, 2(3), 45. https://doi.org/10.51161/rems/1577

Edição

v. 2 n. 3 (2021)

Seção

I Congresso Nacional Multidisciplinar de Oncologia On-line

Licença

Creative Commons License
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.

O conteúdo desta revista foi migrado para https://editoraintegrar.com.br

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      PKPRouter._authorizeInitializeAndCallRequest(Array[2], Object:Request, Array[1], false) % line  231, file: PKPPageRouter.inc.php
   PKPPageRouter.route(Object:Request) % line  143, file: Dispatcher.inc.php
Dispatcher.dispatch(Object:Request) % line  281, file: PKPApplication.inc.php
PKPApplication.execute() % line   68, file: index.php

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                                                SubmissionSearch._getMergedKeywordResults(Object:Journal, Array[3], null, null, null, 500, 1) % line  132, file: SubmissionSearch.inc.php
                                             SubmissionSearch._getMergedArray(Object:Journal, Array[1], null, null) % line  263, file: SubmissionSearch.inc.php
                                          SubmissionSearch.retrieveResults(Object:Request, Object:Journal, Array[1], null, null, null, Object:DBResultRange, Array[1]) % line   92, file: RecommendBySimilarityPlugin.inc.php
                                       RecommendBySimilarityPlugin.callbackTemplateArticlePageFooter(Templates::Article::Footer::PageFooter, Array[3]) % line  107, file: HookRegistry.inc.php
                                    HookRegistry.call(Templates::Article::Footer::PageFooter, Array[3]) % line 1267, file: PKPTemplateManager.inc.php
                                 PKPTemplateManager.smartyCallHook(Array[1], Object:Smarty_Internal_Template) % line   43, file: 42362804174f266c598cdb32c3208fc745b92101^1c372c95cd85572e0fbc9a53d0323a0b229cfc78_0.app.frontendpagesarticle.tpl.php
                              content_6781613650b432_13896783(Object:Smarty_Internal_Template) % line  123, file: smarty_template_resource_base.php
                           Smarty_Template_Resource_Base.getRenderedTemplateCode(Object:Smarty_Internal_Template) % line  114, file: smarty_template_compiled.php
                        Smarty_Template_Compiled.render(Object:Smarty_Internal_Template) % line  216, file: smarty_internal_template.php
                     Smarty_Internal_Template.render(false, 1) % line  232, file: smarty_internal_templatebase.php
                  Smarty_Internal_TemplateBase._execute(Object:Smarty_Internal_Template, null, 42362804174f266c598cdb32c3208fc745b92101, null, 1) % line  134, file: smarty_internal_templatebase.php
               Smarty_Internal_TemplateBase.display(frontend/pages/article.tpl, null, 42362804174f266c598cdb32c3208fc745b92101, null) % line  924, file: PKPTemplateManager.inc.php
            PKPTemplateManager.display(frontend/pages/article.tpl) % line  292, file: ArticleHandler.inc.php
         ArticleHandler.view(Array[1], Object:Request) % line  391, file: PKPRouter.inc.php
      PKPRouter._authorizeInitializeAndCallRequest(Array[2], Object:Request, Array[1], false) % line  231, file: PKPPageRouter.inc.php
   PKPPageRouter.route(Object:Request) % line  143, file: Dispatcher.inc.php
Dispatcher.dispatch(Object:Request) % line  281, file: PKPApplication.inc.php
PKPApplication.execute() % line   68, file: index.php