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Journal of Medical Case Reports
Published in: Journal of Medical Case Reports 1/2012

Open Access 01-12-2012 | Case report

Successful management of allergy to the insulin excipient metacresol in a child with type 1 diabetes: a case report

Authors: Benjamin J Wheeler, Barry J Taylor

Published in: Journal of Medical Case Reports | Issue 1/2012

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Abstract

Introduction

Insulin allergy to human insulin preparations during the treatment of diabetes is suggested to occur at rates ranging from <1.0% to 2.4%. These reactions vary from mild localized reactions, which resolve with repeated exposure, to life-threatening anaphylaxis and death. The management of persistent insulin allergy in type 1 diabetes mellitus is particularly complicated because ongoing treatment with insulin is essential.

Case presentation

We present the case of a 12-year-old Caucasian girl with localized allergy to the insulin excipient metacresol, and the subsequent desensitization therapy using continuous subcutaneous insulin infusion with simultaneous intravenous insulin infusion.

Conclusions

This is the first documented case of allergy to the metacresol component of insulin in the pediatric type 1 diabetes literature. We describe an approach to diagnosis and management of metacresol allergy in type 1 diabetes.
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Metadata
Title
Successful management of allergy to the insulin excipient metacresol in a child with type 1 diabetes: a case report
Authors
Benjamin J Wheeler
Barry J Taylor
Publication date
01-12-2012
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2012
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/1752-1947-6-263

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