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4 results on '"Rebelo Gomes, E."'

1. Immediate Reactions to Fluorescein and Indocyanine Green in Retinal Angiography: Review of Literature and Proposal for Patient’s Evaluation

Author

Meira J, Marques ML, Falcão-Reis F, Rebelo Gomes E, and Carneiro Â

Subjects
fluorescein, indocyanine green, ophthalmic dyes, retinal angiography, adverse reactions, hypersensitivity reaction., Ophthalmology, RE1-994
Abstract

Jorge Meira, 1,* Maria Luís Marques, 2,* Fernando Falcão-Reis, 1, 3 Eva Rebelo Gomes, 2 Ângela Carneiro 1, 3 1Department of Ophthalmology, Centro Hospitalar Universitário São João, Porto, Portugal; 2Department of Allergy and Clinical Immunology, Centro Hospitalar Universitário do Porto, Porto, Portugal; 3Department of Surgery and Physiology, Faculty of Medicine, University of Porto, Porto, Portugal*These authors contributed equally to this workCorrespondence: Jorge MeiraDepartment of Ophthalmology of São João Hospital, Avenida Prof. Hernâni Monteiro, Porto 4202 – 451, PortugalTel +351225512100Fax +351225513669Email jorgesmeira@gmail.comIntroduction: Contrast rapid sequence angiography with fluorescein or indocyanine green (ICG) is a diagnostic procedure commonly used in ophthalmology. Adverse reactions to fluorescein and ICG are rare and may be classified as toxic, of hypersensitivity and non-specific. The evaluation and management of a patient with an adverse reaction is a challenge for the majority of ophthalmologists, as is the assessment of risk factors that may contraindicate the procedure.Purpose: We aim to review the concepts underlying adverse reactions to fluorescein and ICG, especially those of hypersensitivity, and present a proposal or the evaluation of the patients in need to perform retinal angiography and for the treatment of immediate reactions to fluorescein and ICG.Methods: The available literature was examined using PubMed-Medline, and using the MeSH terms “fluorescein”, “Indocyanine green”, “ophthalmic dyes”, “retinal angiography”, “adverse reactions”, and “allergic reaction”.Conclusion: This review may help ophthalmologists to identify patients with higher risk of a hypersensitivity reaction and give them tools to recognize patients with suspected hypersensitivity that may benefit from an allergy study.Keywords: fluorescein, indocyanine green, ophthalmic dyes, retinal angiography, adverse reactions, hypersensitivity reaction

Published
2020

2. Diagnostic testing for penicillin allergy: Practices and cost perceptions in Europe and North America

Author

Sousa-Pinto, B, Blumenthal, K, Macy, E, Bavbek, S, Benic, M, Alves-Correia, M, Dursun, A, Jerschow, E, Kong-Cardoso, B, Kopac, P, Lefevre, S, Lombardo, C, Marraccini, P, Moral L, Norton, A, Petrisor, C, Poziomkowska-Gesicka, I, Regateiro, F, Santos, N, Saretta, F, Turkalj, M, Velickovic, J, Wohrl, S, Yazicioglu, M, Zidarn, M, Pereira, M, Rebelo-Gomes, E, Pereira, A, Delgado, L, and Fonseca, J

Published
2019

3. Reducing the risk of anaphylaxis during anaesthesia: Guidelines for clinical practice

Author

Mertes, P. M., Laxenaire, M. C., Lienhart, A., Aberer, W., Ring, J., Pichler, W. J., Demoly, P., Decroix, G., Dewachter, P., Guéant, J. L., Guilloux, L., Laroche, D., Leynadier, F., Longrois, D., Malinovsky, J. M., Moneret-Vautrin, D. A., Pecquet, C., Pinaud, M., Tréchot, P., Vervloet, D., Wessel, F., Ballmer-Weber, B. K., Barbaud, A., Bilo, B., Birnbaum, J., Bianca, M., Blömecke, B., Brockow, K., Christiansen, C., Weck, A., Dzviga, C., Drouet, M., Eberlein-König, B., Frew, A. T., Fuchs, T., Guéant-Rodriguez, R. M., Gutgesell, C., Hertl, M., Kanny, G., Kapp, A., Kidon, M., Kowalski, M., Marone, G., Merk, H., Pascual-Marcos, C., Przybilla, B., Rebelo-Gomes, E., Rueff, F., Sabbah, A., Sainte Laudy, J., Sanz, M. L., Tas, E., Romano, A., Torres, M. J., Bettina Wedi, Wüthrich, B., Mertes, Paul Michel, Laxenaire, M. C., Lienhart, A., Aberer, W., Ring, J., Pichler, W. J., Demoly, Pascal, Decroix, G., Dewachter, P., Guéant, J. L., Guilloux, L., Laroche, D., Leynadier, F., Longrois, D., Malinovsky, J. M., Moneret Vautrin, D. A., Pecquet, C., Pinaud, M., Tréchot, P., Vervloet, D., Wessel, F., Ballmer Weber, B. K., Barbaud, A., Bilo, B., Birnbaum, J., Bianca, M., Blömecke, B., Brockow, K., Christiansen, C., De Weck, A., Dzviga, C., Drouet, M., Eberlein König, B., Frew, A. T., Fuchs, T., Guéant Rodriguez, R. M., Gutgesell, C., Hertl, M., Kanny, G., Kapp, A., Kidon, M., Kowalski, M., Marone, Gianni, Merk, H., Pascual Marcos, C., Przybilla, B., Rebelo Gomes, E., Rueff, F., Sabbah, A., Sainte Laudy, J., Sanz, M. L., Tas, E., Romano, A., Torres, M. J., Wedi, B., and Wüthrich, B.

Subjects
Anaesthesia, Skin test, Latex, Anaphylaxi, Neuromuscular blocking agent, Hypersensitivity, Tryptase, Immunology and Allergy, IgE, Histamine, Hypnotic

4. Fig Tree-Induced Phytophotodermatitis: A Case Report on the Perils of a Hobby.

Author

Pinto AR, Machado Cunha I, and Rebelo Gomes E

Abstract

Phytophotodermatitis, a condition that results from sequential skin exposure to phototoxic chemicals contained within plants, followed by exposure to solar ultraviolet radiation, has been described with several plants and plant-based foods, namely members of the Moraceae family, which include Ficus carica L. This tree's branches, leaves, and fruit skin exude a milky sap or latex containing proteolytic enzymes and furocoumarins known to be photoirritants, easily absorbed upon skin contact. Oxygen-dependent and independent toxic reactions subsequent to sun exposure promote cell membrane damage and oedema, consequently leading to cell death. The diagnosis is confirmed with a detailed anamnesis, and photopatch testing is often useful to rule out a differential diagnosis. It is typically a self-limited condition, with few cases requiring treatment with topical or systemic corticosteroids. We report on a 55-year-old male patient who, following picking figs and pruning a fig tree while exposed to sunlight, developed erythematous and pruritic maculopapular lesions that progressed to blisters with residual hyperpigmentation. The diagnosis was further corroborated through photopatch testing, and the patient was recommended to avoid this recreational activity without symptoms' relapse. This case highlights the importance of considering phytophotodermatitis as a differential diagnosis when evaluating cases of dermatitis on exposed body surfaces and the importance of an exhaustive anamnesis. Identification of specific plant triggers and the performance of photopatch tests are essential to help confirm the diagnosis and guide avoidance recommendations., Competing Interests: The authors have declared that no competing interests exist., (Copyright © 2023, Pinto et al.)

Published
2023
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