Hypersensitivity reaction to Calcium levofolinate – a clinical case.

Autores

  • Inês Falcão Serviço de Imunoalergologia, Centro Hospitalar Universitário do Porto, Portugal
  • Leonor Cunha Centro Hospitalar Universitário do Porto

Resumo

The frequency of allergic reactions to calcium levofolinate is unknown and anaphylactic reactions are described as very rare.

The authors present the case of a 43-year-old male allergic to levofolinate with a positive oral provocation test.

Clinicians should be aware of hypersensitivity reaction with calcium-levofolinate, especially when is administered concomitantly with oxaliplatin, despite its lower risk to cause hypersensitivity reactions. Furthermore, the similar signs and symptoms associated to the hypersensitivity reactions of each agent, highlight the importance of having a specialized allergist team for to make a prompt diagnose of the causative agent in order to prevent patient harm and proceed properly without unnecessary delays in the scheduled chemotherapy treatments.

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Referências

(1) Ratti M, Hahne JC, Toppo L, et al. Major innovations and clinical applications of disodium-levofolinate: a review of available preclinical and clinical data. Ther Adv Med Oncol 2019; 11: 1758835919853954.

(2) Correale P, Botta C, Ciliberto D, Pastina P, Ingargiola R, Zappavigna S, Tassone P, Pirtoli L, Caraglia M, Tagliaferri P. Immunotherapy of colorectal cancer: new perspectives after a long path. Immunotherapy. 2016 Nov;8(11):1281-1292. doi: 10.2217/imt-2016-0089. PMID: 27993089.

(3) Gruchalla RS. 10. Drug allergy. J Allergy Clin Immunol 2003; 111:S548 -59.

(4) Johansson SG, Bieber T, Dahl R, Friedmann PS, Lanier BQ, Lockey RF et al. Revised nomenclature for allergy for global use: Report of the Nomenclature Review Committee of the World Allergy Organization, October 2003. J Allergy Clin Immunol 2004; 113:832 -6.

(5) Lenz HJ. Management and preparedness for infusion and hypersensitivity reactions. Oncologist 2007;12(5):601 -9.

(6) Caiado J., Rodirgues T., Pedro E., Costa L., Pereira Barbosa M. Drug desensitisation in oncology: The experience of an Immunoallergology Department. R e v P o r t I m u n o a l e r g o l o g i a 2 0 0 9; 1 7 (1): 5 7 - 7 4

(7) Benchalal M, Yahchouchy-Chouillard E, Fouere S, Fingerhut A. Anaphylactic shock secondary to intravenous administration of folinic acid: a first report. Ann Oncol. 2002 Mar;13(3):480-1. doi: 10.1093/annonc/mdf023. PMID: 11996482.

(8) Palma-Carlos S., Carvalho S., Almeida T. Drug hypersensitivity reactions in an outpatients’ hospital: safety of drug provocation tests. R e v P o r t I m u n o a l e r g o l o g i a 2 0 0 7 ; 1 5 ( 6 ) : 4 8 5 - 4 9 7

(9) Ureña-Tavera A, Zamora-Verduga M, Madrigal-Burgaleta R, Angel-Pereira D, Berges-Gimeno MP, Alvarez-Cuesta E. Hypersensitivity reactions to racemic calcium folinate (leucovorin) during FOLFOX and FOLFIRI chemotherapy administrations. J Allergy Clin Immunol. 2015 Apr;135(4):1066-1067. doi: 10.1016/j.jaci.2014.09.045. Epub 2014 Nov 7. PMID: 25457996.

(10) Soyer O, Sahiner UM, Sekerel BE. Pro and Contra: Provocation Tests in Drug Hypersensitivity. Int J Mol Sci. 2017 Jul 4;18(7):1437. doi: 10.3390/ijms18071437. PMID: 28677662; PMCID: PMC5535928.

(11) Florit-Sureda M, Conde-Estévez D, Vidal J, Montagut C. Hypersensitivity reaction caused by folinic acid administration: a case report and literature review. J Chemother. 2016 Dec;28(6):500-505. doi: 10.1179/1973947815Y.0000000048. Epub 2016 Apr 25. PMID: 26042586

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Publicado

2022-11-25

Como Citar

Hypersensitivity reaction to Calcium levofolinate – a clinical case. (2022). Revista Portuguesa de Oncologia, 5(1). https://rpo.josekarvalho.net/index.php/rpo/article/view/48