Immediate allergic reactions to betalactams: facts and controversies.

Abstract:

PURPOSE OF REVIEW:To analyse the available data in the field of immediate allergic reactions to beta-lactams, with particular emphasis on more recent studies, and to comment on the future role of this group of antibiotics. RECENT FINDINGS:The world of beta-lactams has become more complex than initially thought, due to the increased number of chemical structures available, the wide variety of indications for their use in treating different infectious diseases, and possibly also due to the interaction of other as yet undetermined factors. Benzyl penicillin, the original inducer of allergic reactions, has now largely been replaced by amoxicillin and, to a lesser extent, by cephalosporins in inducing IgE-mediated allergic reactions. These structures often share extensive cross-reactivity, eliciting clinical reactions to many compounds, especially amongst penicillins. In other circumstances selective responses are observed which are restricted to one group or one single compound, as occurs in the group of cephalosporins. The application of new determinants for skin testing and the use of adapted in-vitro studies have enabled these findings to be confirmed in detail. SUMMARY:Results indicate that evaluation of immediate reactions to beta-lactams requires the use of several determinants for both in-vitro and in-vivo testing, and which must reflect the relevant drug involved in eliciting the response. This tendency will be strengthened in the future if use of benzyl penicillin continues to decrease as a drug to which populations are exposed.

authors

Blanca M,Torres MJ,Mayorga C,Perez-Inestrosa E,Suau R,Montañez MI,Juarez C

doi

10.1097/01.all.0000136764.74065.15

keywords:

subject

Has Abstract

pub_date

2004-08-01 00:00:00

pages

261-6

issue

4

eissn

1528-4050

issn

1473-6322

pii

00130832-200408000-00002

journal_volume

4

pub_type

杂志文章,评审
  • Pathogenesis of hypersensitivity pneumonitis.

    abstract:PURPOSE OF REVIEW:Hypersensitivity pneumonitis is a group of immunologically mediated diseases caused by an abnormal response to a wide variety of inhaled antigens. Its pathogenesis is complex and involves many immunological concepts. This review discusses recent advances in our understanding of the pathogenesis of hyp...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/00130832-200404000-00004

    authors: Girard M,Israël-Assayag E,Cormier Y

    更新日期:2004-04-01 00:00:00

  • Professional cleaning and asthma.

    abstract:PURPOSE OF REVIEW:The purpose of this review is to summarize the recent evidence on the effect of cleaning jobs on asthma, based on case reports and series of occupational asthma among cleaners, and epidemiological studies on the relationship between different characteristics of cleaning and asthma risk, as well as to ...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/01.all.0000216849.64828.55

    authors: Jaakkola JJ,Jaakkola MS

    更新日期:2006-04-01 00:00:00

  • Interrupting the cough reflex in asthma.

    abstract:PURPOSE OF REVIEW:Although cough is one of the defining symptoms of asthma, wheeze, chest tightness and breathlessness have generally received more attention. The impact of coughing for patients may be more important than currently appreciated and has been rated more troublesome than wheeze, chest tightness or disturba...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/ACI.0b013e328334e75f

    authors: Smith JA

    更新日期:2010-02-01 00:00:00

  • Cord blood stem cell transplantation in primary immune deficiencies.

    abstract:PURPOSE OF REVIEW:Umbilical cord haematopoietic stem cell transplantation for primary immunodeficiencies is examined with other developments in treatment. Cord blood biology is reviewed, and advantages and disadvantages of umbilical cord blood stem cell transplantation for primary immunodeficiencies discussed. Clinical...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/ACI.0b013e3282f1d6b6

    authors: Gennery AR,Cant AJ

    更新日期:2007-12-01 00:00:00

  • Neutrophil activation in occupational asthma.

    abstract:PURPOSE OF REVIEW:The aim of this review is to emphasize the role of neutrophils in patients with occupational asthma. This review facilitates a better understanding, accurate diagnosis, and proper management of asthmatic reactions provoked at the workplace. RECENT FINDINGS:Increased recruitment and infiltration of ne...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/ACI.0000000000000507

    authors: Choi Y,Lee Y,Park HS

    更新日期:2019-04-01 00:00:00

  • Oral mite anaphylaxis: who, when, and how?

    abstract:PURPOSE OF REVIEW:To present an update on the recent advances in the understanding of the mechanisms and practical management of oral mite anaphylaxis (OMA, pancake syndrome). RECENT FINDINGS:Among novel observations regarding OMA, this review highlights the increased prevalence of aspirin/NSAID hypersensitivity inpat...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章

    doi:10.1097/ACI.0000000000000624

    authors: Sánchez-Borges M,Capriles-Hulett A,Fernandez-Caldas E

    更新日期:2020-06-01 00:00:00

  • Childhood asthma may be a consequence of vitamin D deficiency.

    abstract:PURPOSE OF REVIEW:Vitamin D deficiency has been rediscovered as a public-health problem worldwide. It has been postulated that vitamin D deficiency may explain a portion of the asthma epidemic. The purpose of this review is to present the evidence for a role of vitamin D in asthma. RECENT FINDINGS:Both animal models a...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/ACI.0b013e32832b36cd

    authors: Litonjua AA

    更新日期:2009-06-01 00:00:00

  • Component-resolved diagnosis in anaphylaxis.

    abstract:PURPOSE OF REVIEW:Component-resolved diagnosis (CRD) is an advanced tool capable of aiding the clinician in fine tuning the diagnosis of the causal allergens of a reaction with the added value of providing information of severity risk, potential cross-reactivity, and subsequently, guiding management measures. This revi...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/ACI.0000000000000261

    authors: Cardona V,Ansotegui IJ

    更新日期:2016-06-01 00:00:00

  • Prevention of baker's asthma.

    abstract:PURPOSE OF REVIEW:Baker's allergy and asthma continue to represent an important contributor of occupational asthma globally. This review identified recent studies related to the prevention of baker's allergy and asthma. RECENT FINDINGS:Studies with respect to regulatory exposure standards, workplace control measures a...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章

    doi:10.1097/ACI.0000000000000612

    authors: Jeebhay MF,Baatjies R

    更新日期:2020-04-01 00:00:00

  • Dissecting the role of eosinophil cationic protein in upper airway disease.

    abstract:PURPOSE OF REVIEW:Eosinophil granulocyte myeloid cells are increased in atopic and nonatopic rhinitis, chronic rhinosinusitis (CRS) and atopic keratoconjunctivitis, diseases of the upper respiratory tract. Eosinophils contain several basic granule proteins, the best known being the eosinophil cationic protein (ECP). EC...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/ACI.0b013e32834eccaf

    authors: Bystrom J,Patel SY,Amin K,Bishop-Bailey D

    更新日期:2012-02-01 00:00:00

  • The genetics of atopic dermatitis.

    abstract:PURPOSE OF REVIEW:Atopic dermatitis is typified by itchy, inflamed skin. It is increasingly common in the developed world and is a major cause of morbidity in infants and young children. Most children with the disease have high levels of immunoglobulin E and many have concomitant asthma. The cause of the disease is unk...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/00130832-200210000-00003

    authors: Cookson WO,Moffatt MF

    更新日期:2002-10-01 00:00:00

  • Penicillin allergy: optimizing diagnostic protocols, public health implications, and future research needs.

    abstract:PURPOSE OF REVIEW:Unverified penicillin allergy is being increasingly recognized as a public health concern. The ideal protocol for verifying true clinically significant IgE-mediated penicillin allergy needs to use only commercially available materials, be well tolerated and easy to perform in both the inpatient and ou...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/ACI.0000000000000173

    authors: Macy E

    更新日期:2015-08-01 00:00:00

  • Evidence of adherence to allergen-specific immunotherapy.

    abstract:PURPOSE OF REVIEW:The main feature of allergen-specific immunotherapy is its capacity to modify the natural history of the disease, reducing the development of asthma and new sensitizations after 3-4 years of treatment. For this reason, adherence to the therapy is mandatory, as happens for all chronic medical treatment...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/ACI.0b013e328332b8df

    authors: Senna G,Ridolo E,Calderon M,Lombardi C,Canonica GW,Passalacqua G

    更新日期:2009-12-01 00:00:00

  • Gene-expression signatures of nasal polyps associated with chronic rhinosinusitis and aspirin-sensitive asthma.

    abstract:PURPOSE OF REVIEW:The purpose of this review is to highlight recent advances in gene-expression profiling of nasal polyps in patients with chronic rhinosinusitis and aspirin-sensitive asthma. RECENT FINDINGS:Gene-expression profiling has allowed simultaneous interrogation of thousands of genes, including the entire ge...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/ACI.0b013e32831d8170

    authors: Platt M,Metson R,Stankovic K

    更新日期:2009-02-01 00:00:00

  • Long-term clinical and immunological effects of allergen immunotherapy.

    abstract:PURPOSE OF REVIEW:The present review updates current findings on long-term clinical and immunological outcomes after cessation of allergen immunotherapy for allergic respiratory disease. RECENT FINDINGS:Recent studies have shown that allergen immunotherapy has sustained disease-modifying effects that persist for years...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/ACI.0b013e32834cb994

    authors: Eifan AO,Shamji MH,Durham SR

    更新日期:2011-12-01 00:00:00

  • The genes and the environment in nasal allergy.

    abstract:PURPOSE OF REVIEW:In this review, we summarize the latest publications on the genetic and environmental determinants of allergic rhinitis. RECENT FINDINGS:Recent advances in genetic technology and bioinformatics have enabled simultaneous unbiased analysis of the entire genome regarding DNA sequence variants, epigeneti...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/ACI.0000000000000207

    authors: Chiarella SE,Fernandez R,Avila PC

    更新日期:2015-10-01 00:00:00

  • Ocular allergy.

    abstract:PURPOSE OF REVIEW:Ocular allergy is often encountered by allergists, ophthalmologists, pediatricians, and primary care physicians. An understanding of the immunologic mechanisms, the differential diagnosis, the clinical features, and the treatment of ocular allergy will be useful to all physicians who encounter these p...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/ACI.0b013e32834a9652

    authors: Friedlaender MH

    更新日期:2011-10-01 00:00:00

  • Medication non-adherence and asthma treatment cost.

    abstract:PURPOSE OF REVIEW:The purpose of this review is to describe the impact of asthma treatment non-adherence on patients and the healthcare system, and to outline areas of responsibility towards improved adherence. RECENT FINDINGS:The average cost of healthcare expenses for each person in the United States in 2002 was 544...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/00130832-200406000-00009

    authors: Bender BG,Rand C

    更新日期:2004-06-01 00:00:00

  • Does acupuncture or Chinese herbal medicine have a role in the treatment of allergic rhinitis?

    abstract:PURPOSE OF REVIEW:Complementary medicines, including acupuncture and Chinese herbal medicine, are being used increasingly for the management of allergies such as allergic rhinitis. Until relatively recently, however, evidence for the efficacy and safety of these therapies in allergic conditions has been lacking. RECEN...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/01.all.0000225156.29780.36

    authors: Xue CC,Li CG,Hügel HM,Story DF

    更新日期:2006-06-01 00:00:00

  • Magnesium in the treatment of asthma.

    abstract:PURPOSE OF REVIEW:To provide an update of recent research on the role of magnesium in the management of asthma. RECENT FINDINGS:Further evidence has been published that long-term oral magnesium supplementation does not lead to improved control in adult asthma. In contrast, updated meta-analyses of randomized controlle...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/ACI.0b013e328012ce4b

    authors: Beasley R,Aldington S

    更新日期:2007-02-01 00:00:00

  • Biological agents for severe asthma: the evolution of the at-home self-injection approach.

    abstract:PURPOSE OF REVIEW:New biological agents, in addition to the well-established omalizumab, have been nowadays introduced into clinical practice for severe asthma. This suggested the possibility of an at-home self-administration, as currently happening for other biological agents for immune-mediated diseases. RECENT FIND...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章

    doi:10.1097/ACI.0000000000000656

    authors: Lombardi C,Bagnasco D,Passalacqua G

    更新日期:2020-08-01 00:00:00

  • Precision medicine in cow's milk allergy.

    abstract:PURPOSE OF REVIEW:The aim of this review is to describe the role of precision medicine in the diagnosis, treatment, and monitoring of cow's milk allergy. RECENT FINDINGS:The development of 'omics' sciences in the field of food allergy has led to a better understanding of the allergenicity of cow's milk proteins and si...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章

    doi:10.1097/ACI.0000000000000640

    authors: D'Auria E,Venter C

    更新日期:2020-06-01 00:00:00

  • Allergen-immunostimulatory oligodeoxynucleotide conjugate: a novel allergoid for immunotherapy.

    abstract:PURPOSE OF REVIEW:To summarize the data of both preclinical studies and initial clinical trials of a novel allergoid for allergen specific immunotherapy. This allergoid consists of allergen covalently coupled to immunostimulatory oligodeoxynucleotide DNA sequences. RECENT FINDINGS:Recently, immunostimulatory oligodeox...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/00130832-200212000-00012

    authors: Spiegelberg HL,Horner AA,Takabayashi K,Raz E

    更新日期:2002-12-01 00:00:00

  • The role of indoor allergen exposure in the development of sensitization and asthma.

    abstract::The role of indoor allergen exposure in the development of sensitization and asthma remains a subject of controversy. From a number of cross-sectional and longitudinal studies we can conclude that there is a very close association between allergen exposure and the sensitization of an individual. The dose-response rela...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/01.all.0000011053.76412.14

    authors: Murray CS,Woodcock A,Custovic A

    更新日期:2001-10-01 00:00:00

  • The voice of the patients: allergic rhinitis is not a trivial disease.

    abstract:PURPOSE OF REVIEW:Patient and physician perspectives on the impact of allergic rhinitis have previously been studied in the general population. We evaluated the burden of allergic rhinitis among patients from the members of European allergy patient organizations. The Patient Voice Allergy Survey was a quantitative, sel...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/ACI.0b013e3282f3f42f

    authors: Valovirta E,Myrseth SE,Palkonen S

    更新日期:2008-02-01 00:00:00

  • Angioedema associated with nonsteroidal anti-inflammatory drugs.

    abstract:PURPOSE OF REVIEW:The review critically assesses the different phenotypes of angioedemas associated with NSAIDs. Angioedemas exacerbated or induced by NSAIDs have high morbidity and, when they affect the larynx, can lead to death by asphyxiation. RECENT FINDINGS:Angioedema can present as a manifestation of a syndrome ...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/ACI.0000000000000292

    authors: Giavina-Bianchi P,Aun MV,Jares EJ,Kalil J

    更新日期:2016-08-01 00:00:00

  • Histamine receptors and the conjunctiva.

    abstract:PURPOSE OF REVIEW:The purpose of this review is to evaluate the effect of histamine on various receptors in the conjunctiva. A Medline search from 1980 was performed on the histamine receptor subtypes H1, H2 and H3 in the human conjunctiva. RECENT FINDINGS:In the conjunctiva, histamine has been shown to induce various...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/01.all.0000183113.63311.11

    authors: Bielory L,Ghafoor S

    更新日期:2005-10-01 00:00:00

  • News from dendritic cells in atopic dermatitis.

    abstract:PURPOSE OF REVIEW:Dendritic cells are essential for the generation of innate and adaptive immune responses, which makes them stay on center stage when studying the immuno pathogenesis of atopic dermatitis. This review will discuss recent findings on the role of dendritic cells subsets in atopic dermatitis and will repo...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/ACI.0b013e32834a977a

    authors: Schäkel K,Hänsel A

    更新日期:2011-10-01 00:00:00

  • Corneal angiogenesis and lymphangiogenesis.

    abstract:PURPOSE OF REVIEW:The purpose of the present review is to describe new antilymphangiogenic treatment strategies and recent findings on strain-dependency of corneal lymphangiogenesis and the interdependency between blood and lymphatic vessel growth. RECENT FINDINGS:Studies on mice have revealed that apart from haemangi...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/ACI.0b013e328357b4a2

    authors: Regenfuss B,Bock F,Cursiefen C

    更新日期:2012-10-01 00:00:00

  • Mastocytosis and Hymenoptera venom allergy.

    abstract:PURPOSE OF REVIEW:Mastocytosis is a rare disease characterized by increased mast cells in skin and/or internal organs. We evaluate the impact of mastocytosis on diagnosis and treatment of Hymenoptera venom allergy. RECENT FINDINGS:Patients with Hymenoptera venom allergy who suffer from mastocytosis develop life-threat...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/01.all.0000235903.10548.63

    authors: Ruëff F,Placzek M,Przybilla B

    更新日期:2006-08-01 00:00:00