Anaphylaxis in a Patient Undergoing FESS for Nasal Polyposis: Revisting Samter’s Triad

Patients with nasal polyposis frequently have associated bronchial asthma and hypersensitivity to NSAIDs. When the three conditions co-exist, it is referred to as the Samter’s triad. Patients with Samter’s triad are an important subset of those with aspirin-exacerbated respiratory disease (AERD). W...

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Autores principales:	Santvana Kohli, Mudit Varshney, Sahil Diwan
Formato:	article
Lenguaje:	EN
Publicado:	Tehran University of Medical Sciences 2021
Materias:	Anaphylaxis Nasal polyp Aspirin Samter’s triad Diclofenac Functional endoscopic sinus surgery (FESS) Anesthesiology RD78.3-87.3 Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
Acceso en línea:	https://doaj.org/article/48021ca78c284a7fbd9f088be2cd12c4
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spelling	oai:doaj.org-article:48021ca78c284a7fbd9f088be2cd12c42021-11-20T04:39:43ZAnaphylaxis in a Patient Undergoing FESS for Nasal Polyposis: Revisting Samter’s Triad10.18502/aacc.v7i4.76362423-5849https://doaj.org/article/48021ca78c284a7fbd9f088be2cd12c42021-10-01T00:00:00Zhttps://aacc.tums.ac.ir/index.php/aacc/article/view/362https://doaj.org/toc/2423-5849 Patients with nasal polyposis frequently have associated bronchial asthma and hypersensitivity to NSAIDs. When the three conditions co-exist, it is referred to as the Samter’s triad. Patients with Samter’s triad are an important subset of those with aspirin-exacerbated respiratory disease (AERD). We present a case of a young female patient undergoing endoscopic sinus surgery for nasal polyps, who although did not show any other features of AERD, went on to develop florid anaphylaxis to diclofenac administration intra-operatively. After adequate resuscitation and intensive care stay, the patient made a complete recovery. NSAIDs must be avoided in patients with nasal polyps, despite showing no other features of this syndrome. Other analgesic agents that can be used include IV paracetamol and opioids like tramadol. Santvana KohliMudit VarshneySahil DiwanTehran University of Medical SciencesarticleAnaphylaxisNasal polypAspirinSamter’s triadDiclofenacFunctional endoscopic sinus surgery (FESS)AnesthesiologyRD78.3-87.3Medical emergencies. Critical care. Intensive care. First aidRC86-88.9ENArchives of Anesthesia and Critical Care, Vol 7, Iss 4 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Anaphylaxis Nasal polyp Aspirin Samter’s triad Diclofenac Functional endoscopic sinus surgery (FESS) Anesthesiology RD78.3-87.3 Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
spellingShingle	Anaphylaxis Nasal polyp Aspirin Samter’s triad Diclofenac Functional endoscopic sinus surgery (FESS) Anesthesiology RD78.3-87.3 Medical emergencies. Critical care. Intensive care. First aid RC86-88.9 Santvana Kohli Mudit Varshney Sahil Diwan Anaphylaxis in a Patient Undergoing FESS for Nasal Polyposis: Revisting Samter’s Triad
description	Patients with nasal polyposis frequently have associated bronchial asthma and hypersensitivity to NSAIDs. When the three conditions co-exist, it is referred to as the Samter’s triad. Patients with Samter’s triad are an important subset of those with aspirin-exacerbated respiratory disease (AERD). We present a case of a young female patient undergoing endoscopic sinus surgery for nasal polyps, who although did not show any other features of AERD, went on to develop florid anaphylaxis to diclofenac administration intra-operatively. After adequate resuscitation and intensive care stay, the patient made a complete recovery. NSAIDs must be avoided in patients with nasal polyps, despite showing no other features of this syndrome. Other analgesic agents that can be used include IV paracetamol and opioids like tramadol.
format	article
author	Santvana Kohli Mudit Varshney Sahil Diwan
author_facet	Santvana Kohli Mudit Varshney Sahil Diwan
author_sort	Santvana Kohli
title	Anaphylaxis in a Patient Undergoing FESS for Nasal Polyposis: Revisting Samter’s Triad
title_short	Anaphylaxis in a Patient Undergoing FESS for Nasal Polyposis: Revisting Samter’s Triad
title_full	Anaphylaxis in a Patient Undergoing FESS for Nasal Polyposis: Revisting Samter’s Triad
title_fullStr	Anaphylaxis in a Patient Undergoing FESS for Nasal Polyposis: Revisting Samter’s Triad
title_full_unstemmed	Anaphylaxis in a Patient Undergoing FESS for Nasal Polyposis: Revisting Samter’s Triad
title_sort	anaphylaxis in a patient undergoing fess for nasal polyposis: revisting samter’s triad
publisher	Tehran University of Medical Sciences
publishDate	2021
url	https://doaj.org/article/48021ca78c284a7fbd9f088be2cd12c4
work_keys_str_mv	AT santvanakohli anaphylaxisinapatientundergoingfessfornasalpolyposisrevistingsamterstriad AT muditvarshney anaphylaxisinapatientundergoingfessfornasalpolyposisrevistingsamterstriad AT sahildiwan anaphylaxisinapatientundergoingfessfornasalpolyposisrevistingsamterstriad
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Anaphylaxis in a Patient Undergoing FESS for Nasal Polyposis: Revisting Samter’s Triad

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