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BMJ Case Rep. 2015 Dec 15;2015. pii: bcr2015213107. doi: 10.1136/bcr-2015-213107.

Feeling blue, going green and finding other attractive alternatives: a case of biphasic anaphylaxis to patent blue and a literature review of alternative sentinel node localisation methods.

Author information

1
Department of Medicine, Keele University, Newcastle under Lyme, UK.
2
Keele University, Newcastle under Lyme, Staffordshire, UK.
3
County Hospital, Stafford, UK.

Abstract

Patent blue dye is used for sentinel lymph node localisation in order to stage the axilla in patients with breast cancer. Patent blue is one of the most common dyes used across the UK, however, the incidence of adverse effects seems to be increasing. This case highlights our experience of a biphasic anaphylactic reaction to patent blue dye, and we conduct a brief literature review of alternative and more novel methods to adequately visualise the lymphatics for sentinel lymph node biopsy.

PMID:
26670899
PMCID:
PMC4680263
DOI:
10.1136/bcr-2015-213107
[Indexed for MEDLINE]
Free PMC Article

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