Prick Test Results with Mmr Previous Vaccination in Children with Egg Allergy and Vaccine Reactions

Yıl 2020, Cilt: 42 Sayı: 4, 378 - 383, 13.07.2020

Gülşah Duyuler Ayçin

Öz

The aim of this study was to
evaluate the frequency of exacerbations after MMR vaccination and to determine
whether pre-vaccination vaccine and prick tests are required. In our
retrospective study, we evaluated 130 patients who had egg allergy MMR vaccine
made in our clinic between 1 October 2017 and 1 October 2018.  44.6% ( 54) of the patients were female and
55.3% ( 72) were male. The mean age was 14 months when the MMR vaccine was
administered. Of the patients, 92 (70.7%) were diagnosed with urticaria /
angioedema, 36 (27.6%) were atopic dermatitis, and 2 (1.53%) were diagnosed with
anaphylaxis. All patients underwent DPT with MMR and prick test was positive in
16 patients (12.3%). Four of these 16 patients (25%) had mild urticaria after
vaccination. As a result, no reaction was seen with the vaccine in patients
with a history of high allergic anaphylaxis with egg. Allergic reactions after
vaccination can also be seen in patients without food allergy. For this reason,
vaccines should be administered in anaphylaxis environment in which
ready-to-use equipment is available.

Anahtar Kelimeler

Egg allergy, urticaria, measles-rubella-mumps vaccine

Yumurta Alerjisi olan Çocuklarda Kkk Aşısı Öncesi Aşı ile Prick Test Sonuçları ve Aşı Reaksiyonları

Öz

Kızamık-kızamıkçık-kabakulak
aşısı sonrası reaksiyon sıklığı ve aşı öncesi aşı ile prik testlerin gerekip
gerekmediğinin değerlendirilmesi amaçlandı. Retrospektif çalışmamızda 01 Ekim
2017- 01 Ekim 2018 tarihleri ararsında yumurta alerjisi olup KKK aşısı
kliniğimizde yapılan 130 hasta değerlendirildi. Hastaların % 44,6 (54) kız, %
55,3 ( 72) erkekti. KKK aşısı yapıldığında yaş ortalaması 14 ay idi Hastaların
92’si ( % 70,7) ürtiker / anjioödem ,36’sı ( % 27,6) atopik dermatit, 2 ’si ( %
1,53) anaflaksi  tanıları ile izlenmekteydi.
Tüm hastalara KKK ile DPT uygulandı 16 hastada ( % 12,3) prik testi pozitif
bulundu. Bu 16 hastanın 4’ünde ( % 25 ) aşı sonrası hafif ürtiker bulguları
görüldü. Yumurta ile yüksek alerjisi olan, anaflaksi öyküsü olan hastalarda aşı
ile herhangibir reaksiyon görülmedi. Aşı sonrası alerjik reaksiyonlar öyküsünde
besin alerjisi olmayan hastalarda da görülebilmektedir. Bu nedenle aşılar anaflaksiye
müdahale ekipmanlarının hazır olduğu ortamlarda uygulanmalıdır.

Anahtar Kelimeler

Yumurta alerjisi, ürtiker, kızamık- kızamıkçık – kabakulak aşısı

Kaynakça

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