Abstract
Hypersensitivity reactions to carboplatin are rare but sometimes life-threatening events may occur requiring discontinuation of treatment. In our study, we describe clinical features and diagnostic procedures of carboplatin-associated reactions in children affected by low-grade astrocytoma and treated with multiple courses of carboplatin. In 6 out of 29 children, we reported allergic events. We also report a desensitization protocol for carboplatin administration, which allowed the patients to receive effective treatment without adverse reactions.
MeSH terms
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Anti-Allergic Agents / therapeutic use
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Anti-Inflammatory Agents / therapeutic use
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Antineoplastic Agents / administration & dosage
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Antineoplastic Agents / adverse effects*
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Antineoplastic Agents / therapeutic use
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Astrocytoma / diagnosis
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Astrocytoma / drug therapy*
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Brain Neoplasms / diagnosis
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Brain Neoplasms / drug therapy*
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Carboplatin / administration & dosage
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Carboplatin / adverse effects*
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Carboplatin / therapeutic use
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Child, Preschool
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Chlorpheniramine / therapeutic use
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Dose-Response Relationship, Drug
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Drug Hypersensitivity / drug therapy
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Drug Hypersensitivity / etiology*
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Epinephrine / therapeutic use
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Female
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Humans
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Hydrocortisone / therapeutic use
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Infant
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Magnetic Resonance Imaging
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Male
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Treatment Outcome
Substances
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Anti-Allergic Agents
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Anti-Inflammatory Agents
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Antineoplastic Agents
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Chlorpheniramine
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Carboplatin
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Hydrocortisone
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Epinephrine