6l'lrflsl'l?I
STRIRAJ HOSPITAL GAZElTf,
dotllil rrrliiBosrrdiio:$hlrritfi rrrDat
volume s4, Numbero, S€ptemb€r 2002
The Siriraj Experience
llss cridc, r&n Janu,ry 1e37 'o Dkmber leee ws pcrfonr4 rkrioN 6 alhacD inj.ctio', For skin prick tni4, s,379 ari€Dt l;tb32.306skinhscwemrdcd
36'1pd100,000p'tjcntol12lyj.di.n|clionspcr100'000i'kodcr
2,310 dbrs.D inj.diotr '.E ,dios vN as% (a03eb r€E jnm€
ryps), and .hc rib ofsrdlnk dl.rsi. rcr..ions ws 0,03%. Noru or rb ft4dnn! vas shl
n loD{uy 2000 {o D*enber 200L 4,761 alhrycn
i4isriom rqc pertormed lilh 27 r tiob O nien and 16 {omeD)
nildro oderire(0.16eq)ond5€Y{
(0.rr%). Nd.asorl,yDo.cnsi'nor I
.Dqlnner al ohta^qdB} *D?pddn {t al PtttLtd.otasJ, Fa.tt, aJ M.dnnt stulj H6Prd
Adverse Reactions to Allergen Injection :
Chawc€wan Bunnag, M.D,+
Perapun Jarconchars.i, M.D.+
Prayuth Tunsuriyawong, M.D.+
Paraya Assanasen, M.D.*
Siriporn voraprayoon, B.Ed,*
Phadej Dachpunpou., B.Sc.+
Chaipo.D Manochnond, Dip.Med.Sc.Tech,++
Banson Pinkeaw, M.Sc.*
priorqscdcdcdoB$dchrng!
inj€didn and .he posibk ca$dive rr rstion, i n dkBeD i4je.d0n dDutd
nii?hltijned!l{h;Liecinnrimtrdo{itr{: nti!mre'lulrlrurltehi
ri,nfl tulT n.!". ieft; !ri!i1tl !.!.' lrrqnc frlqE€NJn!', nrrrv o1d!4n! {! ' ainr rltCr . !' 'r;r 'fltr"!n1 t!'. i'!!. rtliwf
n rrrmrnim mri_ rilot nruir { r "
'nninllna rian slxiitdl "r1a1na&inn atulMn1h1dniairft"u1vld
\tia,.ir'/r,rne ntn",rlrA, 1 oTaa dlra?nq 2sas 5a 517 5,a
nr:invrurdowrilu{!rairr;rm:roio!,tis1imA1r'i!mrmi6rii6!Ldi in!rlm4!r'{'iinannltA,ttj!|!{Ix! nn rln l NMiiitll t:uiNdiuNa! r d ,Bo i{66!
i-$F! r i ,5a, i{llrMtlmfloa0ltitrilnd+d:ioirM!5.a7eri in'n! a2 306 nt!lnullui naiisil!fir!Ei!,iLiflilRU dlt!m',o6ornil|ii16BliAolirhAlvi{diru{'hiaru 5.4s0 'u
anilr':litu 1oe.sm ii, r!i!ini! 'liNnruLinnodr!+lli
, 11! ilTtioLnNemmrvitu!
4 i . , { a ' . i r 6 r r , 1 , . _ r ' a ' ? r i , r r ' . i o " n j v m o ! 4 i , . n l m : ; A o . i 1 L i , u i o , ' ; r , i s lihu&! roo ooo ni r'ioaaln!, , nn'inmJiiffio! I oo ooo F ! dnnmna'niiin\.onlxisn rnio!]]itrtr'!6oliG1!dntul.u! r 1 ss ruiltuoitlnwt'jtrt! (r'tlifiiaduolmi(nuiodh:
o o . s ' i i _ b . i ' i 4 i r , 0 0 0 0 0 t L i v t u ' ' n 0 : . i ! . i i d i l b n "l i i i 1 ! i , , i F ' , e r i i ) i r io a,s10 ni! o"nror'irnifimLor:jiiunnuiruoLnuiom: Ls l6,h!nr a 06 rlunAio{u r-ltjri'jio r.:|o!^: o t 'nlinai,ior6-smi,Lnloirul dnnmniltlii?mlllMftnstLn!
l!!6: o os I,]in!swnin,lAmariipm6u'v{rlra6urrlnra
rini1.ii!1r!rUiMnl U{!1!i!rt!nl:nfl tni!'iiii}rlr,ii'iridiNti!!
!nnA! r r1 ,54 dGbr6isrs! l d ,5aa timJdoiii! a.76a ni! m:inrrLiarliiidqn(iitihft ,7 ni, ha"nrilr!1q ,3 n!(Lnur0 7 n! MiI!! 16nu)niis!1ilio rr.i! 'ildoolnrLdnnisi!
, r ' 0 , , i m : 0 , 6 . . i : . r ; ' . n l n i . o n i r r l r N , 0 ' 6 : o t . n t i i ; " ' d l h i i r ' r ' v ; i
, d o 1 A r r . . . F : l l i " l , : 1 r ^ r i o F ! i 1 . ' f i a : n i ! d q i t n r r i i r fi r r ' n a i ' i L n ,
n':iidlnoM'.n!ir;miir'ii,nnird,tnixhmrinlriiri ld[fi dr!n::iotnNiiilti'i!i*ii
u l i r u r , ! r , ! 5 : n r i n n i o r n n n 0 n d D i 0 n ! H
rim.hnrli! #ot4!. mi'iuumN.'ni!frir tinrlratiqiddiidlnr:uor t"iMiiniii!^iLlil 1 r ' 0 ! . , r : t u , J n d . i i l . . 0 r ' ! q n n , . n : . 0 r . i " i:r,L in,:01' nr!8r-!nrtiddTrj0{i!(im:nr{rtnFlnudlLnniiMuil!!rlindrnn!ifi ndilirnfi ariinlnn r : u r ' 1 r r c : n r q l r ' r t u t r n t r r l i u t r r r x r r u l _ J r ' ! ' r o F i , 0 4 . . r ,
i \ n L F : r l F . r v r u ) m ) r 0 F J ! '
mu!o0tr 5-! !a
INTRODUCTION
Arrdgb iij.dio. ii.rMc bo'r ski) r!
iic sd iimmdhenpy Alcrss m.]cdiom rrivc
* i j n p l e . d i b o l h d e d i n l h e U i i l e d K m g d o m b y dsds rr injd'ioi of ,11c4$i. drnr bc'lei
rudia ii rhc Uincd Sbr6 hlvc shsvn i yanlrioD
rbc objc'ivs or'hh (dy vtr brview
dltuENrAr4ycr c,sindjHolpd Brosrok,
MAADRIATS AND METHODS
bhnbddNe wls rcicrrd ifd shi.ri sc jntdjon fspetrdy, A ,nidcnincc dos ya! Lnieden ewy
Lrbraroi ics h.. (Lion, Nc) lnd cc {r_rbonro ri$(PonNArriigron,NY).someof dri,*depr
$c ENrALhrgy criic subjedir omprrds m.
ms, ind objcdive findhg! sud' rs na'a or i'
i'no(l)m imncdide vhsrhd nac wlricrr ddc srcld rlmi 3 cn, riJ (2) a ddlycd s'bcuktr(ur swclliosvilh i'.h ii ths ij.c'ior sE. lbidi dc€
RESUL'T'S
Qn& r! forrowcd by inradqorr 's' rr skh prick tr wis msdNc drcquirouL) in 1r,r6e oricic .vilulLcd aor i*pn ory allclga Ghiiirh ind/or aftm.) sN 00l8tli or r76syrcstr trc0ons Pu
so iiicdioN wcrc ruo.'rcd. rhe mE of q(sry.
27 sydcoj.Iuriosocurin! rtr23 lrri.it (? nen ed r6{o'.e'n. rwq,yrwockib vcrc d&$,rid rsmildloFodudc(046fr)and5cvol!*.rce.dc
\ o v o c o d i o N ( 0 l l t 6 )
,n!ido.d or syiemrc rcdiq! (05?t6.nd 056%
.f rohllenaleardnlrcp icrtrcsperirdy) Evcl
( 0 0 s 9 i ) r n d i r w o n c i ( o r r % )
pdl.i(91rsi]gnsa 60 cer weed pollcn ciuadt
criii..striilj H$pibLduiic,h€ perioi rooorm'.(a?6,1 i'rFdioN wilh2TryncmEElcrioNo(uocd n
okudd qilr'h r0 m rurs or rhc iiicdior md ii
DISCUSSION
greulmotucdsl jisymFons iiiedionwith'he
AdER RecdoN h Arr.4o Inj€didn
jousrrs sfplred !i'h 'his $d) aru 3howtr ' ' rrbLs
^nhfx'icpdjgnc,iclhighj]5kgfo!p'oI
hrd r qsemic cmdon !n.i iflmunorhqrp) (eiher mild Fddsdc or scvcic) ilso hd concomrad
porren(sru$iodwccd),hou$ ddmire ln'I]13iland
p h s g ' d G ' g e e r c 6 f i d d s g i i g b a m w v n l r c
!!n:rlxn,!::r,nrLnq0rnnnn0irrM{lrv
r1,:0,t!r,i.!i,mL:
Eetion in rlris repon wcrc tr[ios bdu-hLo.lrd.
rwo bG lfbm iijc'ion orrrbrldi urrcL n'is .nd wide cxperiencc h rh. Ooibd sbrcs is nor rhc
Fris in r993r and rhc.un.n trpddc on sp('rr
io fahririca rhc ihk r,c(o^ ror d.yddpiDs !
sq{,ly ofqncmic rcrcrjom. m arLe|g$ irjedior sho||db.ecdncdbyPh}icinsoIPeNlre]qho
ACKNOWLEDGEMENTS
Adv.m RscrioN h Alrced lojrdion
ohy|qkhjnmlndsn''obrqlgdH6dNrct
Fddrts tum Dnuodtrcpy (m md skii re{h3 (st)j^ltqc|iInnlmr|q7:79|6oi'
'6'is artryPrccirq Gzdd.
ii3 h dh4r pd4r(Ld,q) jAMA Derr 167, hD
dhrr ud is inPd on *rbmr (ARrAr r Arh4]
l P d d c h i T s o d A B ' d P L d 5 P r t [ h h g H q $ '
vtvaD'dP,JnlPqsmro'ro.!l[!donN.
