Abstract

Patent blue dye (PBD) is one of the most used dyes to identify the sentinel lymph node during breast cancer surgery. It is estimated as the culprit in 5% of peri-operative anaphylaxis. We present two cases of peri-operative anaphylaxis. The first, it is a 62 year old woman who presents a widespread violaceous wheal eruption immediately after anesthetic induction and dye infiltration. The second, it is a 69 year old woman who presents, after 20 minutes of the surgery beginning, abrupt hypotension refractory to treatment and forehead and hands angioedema.

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