Anaphylactoid reactions associated with menstruation affecting two sisters
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Two sisters experienced cyclical anaphylactoid reactions related to menstruation, which were treated by suppressing menstruation and using a COX-2 inhibitor, possibly due to abnormal prostaglandin reactions.
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Abstract
Cyclical anaphylactoid reactions associated with menstruation are exceedingly rare. We report two sisters who were both affected, one severely and one mildly. Treatment involved suppression of menstruation and use of a cyclooxygenase-2 (COX-2) inhibitor. An abnormal reaction to prostaglandins, perhaps produced by COX-2 enzyme activity in the endometrium, is a possible mechanism.
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