@article {White:October 2006:1081-1206:446, author = "White, Andrew A.", author = "Hope, Andrew P.", author = "Stevenson, Donald D.", title = "Failure to maintain an aspirin-desensitized state in a patient with aspirin-exacerbated respiratory disease", journal = "Annals of Allergy, Asthma and Immunology", volume = "97", year = "October 2006", abstract = "Background: Aspirin desensitization is a useful therapy in patients with aspirin-exacerbated respiratory disease.

Objective: To describe the clinical course of a man with aspirin-exacerbated respiratory disease who was unable to be desensitized to oral aspirin.

Methods: A standard aspirin desensitization protocol was used to achieve a maximum dose of 650 mg of oral aspirin. The patient initially tolerated this dose of aspirin.

Results: Within days of desensitization, the patient began to react to 650 mg of aspirin. Monitored challenge with this dose of aspirin led to marked decrease in forced expiratory volume in 1 second and pronounced nasal and ocular symptoms.

Conclusions: We present a patient with classic aspirin-exacerbated respiratory disease, who despite undergoing a standard aspirin desensitization protocol was unable to maintain his desensitized state.", pages = "446-448(3)", url = "http://www.ingentaconnect.com/content/acaai/aaai/2006/00000097/00000004/art00006" }