Selective immediate hypersensitivity reactions to NSAIDs.

Abstract:

PURPOSE OF REVIEW:Selective immediate reactions to NSAIDs imply that patients develop a urticarial/anaphylactic response to a single drug with good tolerance to other compounds. No systematic review of these reactions has yet been made. RECENT FINDINGS:With the increase in consumption of NSAIDs, these have become one of the most common drugs inducing hypersensitivity reactions. Although cross-intolerance reactions are the most common, a significant proportion is selective responses. As specific IgE antibodies are not always found, there is only indirect evidence supporting an IgE-mediated mechanism in selective NSAID reactors. SUMMARY:Selective immediate reactions to NSAIDs must be considered when a patient develops urticaria or anaphylaxis after intake of one drug with good tolerance to drugs from other groups or even a drug from the same group with a slightly different chemical structure. Further research is required to identify the antigenic determinant structures recognized.

authors

Canto MG,Andreu I,Fernandez J,Blanca M

doi

10.1097/ACI.0b013e32832db943

subject

Has Abstract

pub_date

2009-08-01 00:00:00

pages

293-7

issue

4

eissn

1528-4050

issn

1473-6322

journal_volume

9

pub_type

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