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Table 1 Substances used in intradermal testing

From: Successful desensitization with human insulin in a patient with an insulin allergy and hypersensitivity to protamine: a case report

 

Substance

20 minutes

24 hours

48 hours

1

Levemir © (insulin glargine, m-cresol, glycerol)

+

++

++

2

Huminsulin basal © (human insulin, m-cresol, phenol, glycerol, protamine)

+

++

++

3

Lantus © (insulin glargine, m-cresol, glycerol)

+

++

++

4

Actrapid penfill © (human insulin, m-cresol, glycerol)

+

++

++

5

Insuman rapid © (human insulin, m-cresol)

+

++

++

6

Berlinsulin H normal © (human insulin, phenol, protamine, glycerol)

+

++

++

7

Insulin Novo semilente © (porcine insulin, methyl-4-hydroxybenzoate, natrium acetate)

+

++

++

8

Humalog © (insulin lispro, m-cresol, glycerol, NaH2PO4 × H2O, zinc oxide)

+

+

+

9

Novorapid © (insulin aspart, glycerol, m-cresol, phenol, NaH2PO4 × H2O)

+

+

+

10

Apidra © (insulin glulisine, m-cresol, trometamol, polysorbate 20)

+

+

+

11

Test solution A (NaH2PO4 × H2O 2.1 mg, glycerol 85% 18.8 mg, phenol 0.6 mg, m-cresol 1.5 mg in aqua dest. ad 1.0 ml)

-

-

-

12

Test solution B (glycerol 85% 18.8 mg, phenol 0.6 mg, m-cresol 1.5 mg in aqua dest. ad 1.0 ml)

-

-

-

13

Test solution C (phenol 0.6 mg, m-cresol 1.5 mg in aqua dest. ad 1.0 ml)

+

-

-

14

Test solution D (phenol 0.6 mg in aqua dest. ad 1.0 ml)

+

-

-

15

Test solution E (m-cresol 1.5 mg in aqua dest. ad 1.0 ml)

+

-

-

16

Test solution F (protamine 0.1 mg, NaH2PO4 × H2O 2.1 mg, glycerol 85% 18.8 mg, phenol 0.6 mg, m-cresol 1.5 mg in aqua dest. ad 1.0 ml)

+

++

++

17

Test solution G (protamine 0.1 mg in aqua dest. ad 1.0 ml)

-

++

++

18

Test solution H (zinc chloride 0.06 mg, glycerol 85% 20 mg, m-cresol 2.7 mg in aqua dest. ad 1.0 ml)

-

-

-

19

Test solution I (glycerol 85% 20 mg, m-cresol 2.7 mg in aqua dest. ad 1.0 ml)

-

-

-

20

Test solution J (m-cresol 2.7 mg in aqua dest. ad 1.0 ml)

-

-

-

21

Aqua dest.

-

-

-

22

NaCl 0.9%

-

-

-

23

Histamine 0.01%

+

-

-

  1. Test solutions A-J were obtained from the Sanofi Aventis Insuman© test kit. Test results were noted 20 minutes, 24 hours, and 48 hours after injection. Interpretation of test results: -, no skin reaction; +, erythema and infiltrate with a diameter of <20 mm; ++, erythema and infiltrate with a diameter of >20 mm.