We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Delayed‐type hypersensitivity to vaccine aluminum adjuvant causing subcutaneous leg mass and urticaria in a child.
- Authors
Gordon, Samantha C.; Song, Johanna S.; Hawryluk, Elena B.; Bartenstein, Diana W.; Tajmir, Shahein H.
- Abstract
Abstract: A 3‐year‐old girl presented with a 7‐month history of a waxing and waning left thigh mass associated with pruritus and erythema at the site of two previous DTaP‐HepB‐IPV vaccinations. Patch testing was positive to aluminum chloride, supporting a diagnosis of vaccine granuloma secondary to aluminum allergy; her symptoms had been well controlled with antihistamines and topical steroids. Injection site granulomas are a benign but potentially bothersome reaction to aluminum‐containing immunizations that can be supportively managed, and we encourage strict adherence to the recommended vaccine schedule in this setting. Patch testing is a sensitive, noninvasive diagnostic tool for patients presenting with this clinical finding, and dermatologist awareness can prevent unnecessary medical examination and provide reassurance.
- Subjects
ALLERGIES; ITCHING; URTICARIA; VACCINES; CHILDREN
- Publication
Pediatric Dermatology, 2018, Vol 35, Issue 2, p234
- ISSN
0736-8046
- Publication type
Academic Journal
- DOI
10.1111/pde.13390