1
|
Lainez-Nuez A, Crespo J, Noguerado-Mellado B, Tejero-Alcalde M, Tornero P, Rojas-Pérez-Ezquerra P. Severe Delayed Hypersensitivity Reaction to Abiraterone Acetate. J Investig Allergol Clin Immunol 2021; 31:168-170. [PMID: 32694093 DOI: 10.18176/jiaci.0560] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
- A Lainez-Nuez
- Allergy Department, University Hospital Gregorio Marañon, Madrid, Spain.,Gregorio Marañón Health Research Institute, Madrid, Spain
| | - J Crespo
- Allergy Department, University Hospital Gregorio Marañon, Madrid, Spain.,Gregorio Marañón Health Research Institute, Madrid, Spain
| | - B Noguerado-Mellado
- Allergy Department, University Hospital Gregorio Marañon, Madrid, Spain.,Gregorio Marañón Health Research Institute, Madrid, Spain
| | - M Tejero-Alcalde
- Allergy Department, University Hospital Gregorio Marañon, Madrid, Spain.,Gregorio Marañón Health Research Institute, Madrid, Spain
| | - P Tornero
- Allergy Department, University Hospital Gregorio Marañon, Madrid, Spain.,Gregorio Marañón Health Research Institute, Madrid, Spain
| | - P Rojas-Pérez-Ezquerra
- Allergy Department, University Hospital Gregorio Marañon, Madrid, Spain.,Gregorio Marañón Health Research Institute, Madrid, Spain
| |
Collapse
|
2
|
Marco-Martín G, Tornero P, Prieto A, La Rotta A, Herrero T, Baeza ML. Immediate reactions with glatiramer acetate: Diagnosis of allergy and desensitization protocols. Neurol Clin Pract 2020; 10:170-177. [PMID: 32309036 DOI: 10.1212/cpj.0000000000000714] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2018] [Accepted: 05/29/2019] [Indexed: 11/15/2022]
Abstract
Purpose of review Diverse adverse events have been associated with administration of glatiramer acetate (GA), mainly local reactions at the injection site. Other, less frequent generalized reactions include isolated postinjection reactions and anaphylaxis, which may lead to discontinuation of GA. Recent findings Close collaboration between the allergy and neurology departments is needed to study adverse reactions to GA. The allergy study should include a detailed history and skin prick and intradermal tests with GA and, if possible, determination of specific IgE levels. Furthermore, the implication of other drugs should be ruled out. Summary An accurate diagnosis of reactions to GA is essential if we are to confirm or rule out allergy to GA. When an allergy diagnosis is confirmed or firmly suspected based on clinical evidence, desensitization protocols are increasingly seen as safe methods for reintroduction of GA.
Collapse
Affiliation(s)
- Guadalupe Marco-Martín
- Allergy Department Hospital General Universitario Gregorio Marañón (GM-M, PT, AP, ALR, TH, MLB); Allergy Department (GM-M), Hospital Universitario Infanta Sofía, Madrid; Allergy Department (ALR), Policlínica Miramar, Palma de Mallorca; Biomedical Research Network on Rare Diseases (U761 CIBERER) (MLB), Instituto de Salud Carlos III; and Institute for Health Research Gregorio Marañón (IIS-GM) (MLB), Hospital General Universitario Gregorio Marañón, Madrid, Spain
| | - Pilar Tornero
- Allergy Department Hospital General Universitario Gregorio Marañón (GM-M, PT, AP, ALR, TH, MLB); Allergy Department (GM-M), Hospital Universitario Infanta Sofía, Madrid; Allergy Department (ALR), Policlínica Miramar, Palma de Mallorca; Biomedical Research Network on Rare Diseases (U761 CIBERER) (MLB), Instituto de Salud Carlos III; and Institute for Health Research Gregorio Marañón (IIS-GM) (MLB), Hospital General Universitario Gregorio Marañón, Madrid, Spain
| | - Alicia Prieto
- Allergy Department Hospital General Universitario Gregorio Marañón (GM-M, PT, AP, ALR, TH, MLB); Allergy Department (GM-M), Hospital Universitario Infanta Sofía, Madrid; Allergy Department (ALR), Policlínica Miramar, Palma de Mallorca; Biomedical Research Network on Rare Diseases (U761 CIBERER) (MLB), Instituto de Salud Carlos III; and Institute for Health Research Gregorio Marañón (IIS-GM) (MLB), Hospital General Universitario Gregorio Marañón, Madrid, Spain
| | - Alejandro La Rotta
- Allergy Department Hospital General Universitario Gregorio Marañón (GM-M, PT, AP, ALR, TH, MLB); Allergy Department (GM-M), Hospital Universitario Infanta Sofía, Madrid; Allergy Department (ALR), Policlínica Miramar, Palma de Mallorca; Biomedical Research Network on Rare Diseases (U761 CIBERER) (MLB), Instituto de Salud Carlos III; and Institute for Health Research Gregorio Marañón (IIS-GM) (MLB), Hospital General Universitario Gregorio Marañón, Madrid, Spain
| | - Teresa Herrero
- Allergy Department Hospital General Universitario Gregorio Marañón (GM-M, PT, AP, ALR, TH, MLB); Allergy Department (GM-M), Hospital Universitario Infanta Sofía, Madrid; Allergy Department (ALR), Policlínica Miramar, Palma de Mallorca; Biomedical Research Network on Rare Diseases (U761 CIBERER) (MLB), Instituto de Salud Carlos III; and Institute for Health Research Gregorio Marañón (IIS-GM) (MLB), Hospital General Universitario Gregorio Marañón, Madrid, Spain
| | - Maria Luisa Baeza
- Allergy Department Hospital General Universitario Gregorio Marañón (GM-M, PT, AP, ALR, TH, MLB); Allergy Department (GM-M), Hospital Universitario Infanta Sofía, Madrid; Allergy Department (ALR), Policlínica Miramar, Palma de Mallorca; Biomedical Research Network on Rare Diseases (U761 CIBERER) (MLB), Instituto de Salud Carlos III; and Institute for Health Research Gregorio Marañón (IIS-GM) (MLB), Hospital General Universitario Gregorio Marañón, Madrid, Spain
| |
Collapse
|
3
|
Crespo J, Lainez-Nuez A, Cuevas-Bravo C, Tornero P, Mateos-Mayo A, Rojas-Pérez-Ezquerra P, Noguerado-Mellado B. Acute Generalized Exanthematous Pustulosis Due to Teicoplanin. J Investig Allergol Clin Immunol 2020; 30:303-304. [PMID: 32101176 DOI: 10.18176/jiaci.0501] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
- J Crespo
- Allergy Department, University Hospital Gregorio Marañon, Madrid, Spain.,Gregorio Marañón Health Research Institute, Madrid, Spain
| | - A Lainez-Nuez
- Allergy Department, University Hospital Gregorio Marañon, Madrid, Spain.,Gregorio Marañón Health Research Institute, Madrid, Spain
| | - C Cuevas-Bravo
- Allergy Department, University Hospital Gregorio Marañon, Madrid, Spain.,Gregorio Marañón Health Research Institute, Madrid, Spain
| | - P Tornero
- Allergy Department, University Hospital Gregorio Marañon, Madrid, Spain.,Gregorio Marañón Health Research Institute, Madrid, Spain
| | - A Mateos-Mayo
- Dermatology Department. University Hospital Gregorio Marañon, Madrid, Spain
| | - P Rojas-Pérez-Ezquerra
- Allergy Department, University Hospital Gregorio Marañon, Madrid, Spain.,Gregorio Marañón Health Research Institute, Madrid, Spain
| | - B Noguerado-Mellado
- Allergy Department, University Hospital Gregorio Marañon, Madrid, Spain.,Gregorio Marañón Health Research Institute, Madrid, Spain
| |
Collapse
|
4
|
García-Gutiérrez I, Acevedo M, Tornero P, Matilla A, Márquez L, Sánchez-Herrero A, Prieto-García A. Severe Maculopapular Exanthema Induced by Regorafenib: Successful Desensitization and Adaptation of a Dosage Regimen. J Investig Allergol Clin Immunol 2019; 29:300-302. [DOI: 10.18176/jiaci.0377] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
|
5
|
Prieto-García A, Noguerado B, Rojas P, Torrado I, Rodríguez-Fernández A, Tornero P. Unexpected Anaphylaxis After Completing a Desensitization Protocol to Oxaliplatin: Successful Adjuvant Use of Omalizumab. J Investig Allergol Clin Immunol 2019; 29:53-55. [PMID: 30785102 DOI: 10.18176/jiaci.0326] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
- A Prieto-García
- Servicio de Alergia, Hospital General Universitario Gregorio Marañón, Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, Spain
| | - B Noguerado
- Servicio de Alergia, Hospital General Universitario Gregorio Marañón, Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, Spain
| | - P Rojas
- Servicio de Alergia, Hospital General Universitario Gregorio Marañón, Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, Spain
| | - I Torrado
- Servicio de Alergia, Hospital General Universitario Gregorio Marañón, Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, Spain
| | - A Rodríguez-Fernández
- Servicio de Alergia, Hospital General Universitario Gregorio Marañón, Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, Spain
| | - P Tornero
- Servicio de Alergia, Hospital General Universitario Gregorio Marañón, Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, Spain
| |
Collapse
|
6
|
Laguna JJ, Archilla J, Doña I, Corominas M, Gastaminza G, Mayorga C, Berjes-Gimeno P, Tornero P, Martin S, Planas A, Moreno E, Torres MJ. Practical Guidelines for Perioperative Hypersensitivity Reactions. J Investig Allergol Clin Immunol 2018; 28:216-232. [DOI: 10.18176/jiaci.0236] [Citation(s) in RCA: 51] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
|
7
|
Gutierrez IG, Baeza ML, Prieto A, Tornero P. Desensitization To Cytostatic Drugs. J Allergy Clin Immunol 2018. [DOI: 10.1016/j.jaci.2017.12.124] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
|
8
|
Prieto-García A, Pérez-David E, Devesa C, Tornero P, Schwartz LB, Pascual C, Castells MC. Fatal anaphylaxis caused by gadolinium due to beta-tryptase–induced hemorragic diathesis. The Journal of Allergy and Clinical Immunology: In Practice 2017. [DOI: 10.1016/j.jaip.2017.05.008] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
|
9
|
Noguerado-Mellado B, Rojas-Pérez-Ezquerra P, Sáenz de Santa María García M, Rodriguez-Macías G, Tornero P, Bartolomé B. Anaphylactic shock due to brentuximab-vendotin confirmed by skin test and in vitro tests. J Allergy Clin Immunol Pract 2017. [PMID: 28634100 DOI: 10.1016/j.jaip.2017.05.003] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- Blanca Noguerado-Mellado
- Allergy Department, Hospital General Universitario Gregorio Marañón, Madrid, Spain; Gregorio Marañón Health Research Institute, Madrid, Spain.
| | - Patricia Rojas-Pérez-Ezquerra
- Allergy Department, Hospital General Universitario Gregorio Marañón, Madrid, Spain; Gregorio Marañón Health Research Institute, Madrid, Spain
| | | | - Gabriela Rodriguez-Macías
- Gregorio Marañón Health Research Institute, Madrid, Spain; Haematology Department, Hospital General Universitario Gregorio Marañón, Madrid, Spain
| | - Pilar Tornero
- Allergy Department, Hospital General Universitario Gregorio Marañón, Madrid, Spain; Gregorio Marañón Health Research Institute, Madrid, Spain
| | | |
Collapse
|
10
|
Roa-Medellin D, Garcia-Gutierrez I, Lillo MC, Sanchez-Dominguez M, Ais-Larisgoitia, Pharm A, Baeza ML, Tornero P. Adverse Reactions to Humanized Monoclonal Antibodies. J Allergy Clin Immunol 2017. [DOI: 10.1016/j.jaci.2016.12.179] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
|
11
|
Noguerado B, Rojas P, Calderon M, Morales C, Tornero P. Allergy to Benznidazole: Cross-Reactivity with Other Nitroimidazoles. J Allergy Clin Immunol 2016. [DOI: 10.1016/j.jaci.2015.12.151] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
|
12
|
Sáenz de Santa María M, Zambrano G, Baeza ML, Infante S, Alvarez-Perea A, Tornero P. Experience with Desensitizations to Taxanes in an Allergy Department in Madrid (Spain). J Allergy Clin Immunol 2016. [DOI: 10.1016/j.jaci.2015.12.132] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
|
13
|
Micozzi S, Pinto C, Seoane M, Carbone J, Tornero P. Giant cell myocarditis in hypersensitivity reactions: is an early diagnose possible? Ann Allergy Asthma Immunol 2015; 115:247-8. [PMID: 26165744 DOI: 10.1016/j.anai.2015.06.010] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2015] [Revised: 06/13/2015] [Accepted: 06/17/2015] [Indexed: 10/23/2022]
Affiliation(s)
- Sarah Micozzi
- Allergy Department, Hospital Gregorio Marañón, Madrid, Spain.
| | - Celia Pinto
- Allergy Department, Hospital Gregorio Marañón, Madrid, Spain
| | - Marta Seoane
- Allergy Department, Hospital Gregorio Marañón, Madrid, Spain
| | - Javier Carbone
- Clinical Immunology Department, Hospital Gregorio Marañón, Madrid, Spain
| | - Pilar Tornero
- Allergy Department, Hospital Gregorio Marañón, Madrid, Spain
| |
Collapse
|
14
|
Díez-Villanueva P, Pineda R, Sánchez PL, Tornero P, Fernández-Avilés F. Desensitization to acetylsalicylic acid in patients undergoing percutaneous coronary intervention. Experience in a tertiary center. ACTA ACUST UNITED AC 2014; 67:494-6. [PMID: 24863603 DOI: 10.1016/j.rec.2014.01.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2013] [Accepted: 01/27/2014] [Indexed: 11/17/2022]
Affiliation(s)
- Pablo Díez-Villanueva
- Servicio de Cardiología, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
| | - Rafael Pineda
- Servicio de Alergia, Hospital General Universitario Gregorio Marañón, Madrid, Spain
| | - Pedro L Sánchez
- Servicio de Cardiología, Hospital General Universitario Gregorio Marañón, Madrid, Spain
| | - Pilar Tornero
- Servicio de Alergia, Hospital General Universitario Gregorio Marañón, Madrid, Spain
| | | |
Collapse
|
15
|
Martinez-Lezcano P, Noguerado B, Pineda R, De Barrio M, Tornero P. Allergy to Heparins and Their Cross-Reactivity. J Allergy Clin Immunol 2013. [DOI: 10.1016/j.jaci.2012.12.1249] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
|
16
|
Prieto-García A, Tomás M, Pineda R, Tornero P, Herrero T, Fuentes V, Zapatero L, de Barrio M. Skin test-positive immediate hypersensitivity reaction to iodinated contrast media: the role of controlled challenge testing. J Investig Allergol Clin Immunol 2013; 23:183-189. [PMID: 23967757] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/02/2023] Open
Abstract
BACKGROUND Immediate hypersensitivity reactions (IHR) to iodinated contrast media (ICM) have traditionally been considered nonallergic; however, the increasingly frequent reporting of positive skin test and basophil activation test results suggests a specific allergic mechanism in some patients. Skin tests have been proposed as a useful tool for diagnosis, although their sensitivity and predictive values remain to be determined. The role of controlled challenge testing has not been assessed. OBJECTIVE We aimed to evaluate the role of controlled challenge testing in skin test-positive IHR to ICM. PATIENTS AND METHODS We evaluated 106 patients with IHR to ICM by performing skin tests with the agent that caused the reaction. Patients with a positive result were selected. Skin tests were extended to a series of 8 ICMs; 5 patients underwent controlled challenge test with an alternative skin test-negative ICM; a further 2 patients underwent computed tomography with an alternative skin test-negative ICM. No premedication was administered. RESULTS Intradermal test results were positive to the ICM that caused the reaction in 11 out of 106 patients (10.4%). Five of the 11 patients tolerated a controlled challenge test with an alternative skin test-negative ICM. The 2 patients who underwent computed tomography with an alternative skin test-negative ICM tolerated the medium. CONCLUSIONS Skin tests are useful for the diagnostic workup in patients with an allergic IHR to ICM. Since ICM cannot be avoided in many patients because they are irreplaceable in some diagnostic or therapeutic techniques, an alternative safe ICM should be investigated for future procedures. We propose the use of controlled challenge tests based on skin test results to address this need in skin test-positive reactions in order to identify an alternative non-cross-reactive ICM.
Collapse
Affiliation(s)
- A Prieto-García
- Allergy Service, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
| | | | | | | | | | | | | | | |
Collapse
|
17
|
Prez Alzate D, Marco G, Pineda R, Tornero P, Prieto A, Baeza M, Zubeldia J, Herrero T. Hypersensitivity Reactions To Monoclonal Antibodies: Desensitization Approach. J Allergy Clin Immunol 2012. [DOI: 10.1016/j.jaci.2011.12.529] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
|
18
|
Abdul Razzak E, Tomás M, Tornero P, Herrero T. Nine cases of allergy to omeprazole. J Investig Allergol Clin Immunol 2012; 22:228-230. [PMID: 22697020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/01/2023] Open
Affiliation(s)
- E Abdul Razzak
- Allergy Service, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
| | | | | | | |
Collapse
|
19
|
Kilimajer J, Alava C, Herrero T, Pelta R, Tornero P, De Barrio M. Epidemiology of Drug Hypersensitivity Reactions in an Allergy Service. J Allergy Clin Immunol 2011. [DOI: 10.1016/j.jaci.2010.12.1004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
|
20
|
Sánchez L, Tornero P, Tomas M, De Barrio M, Herrero T, Rueda M, Baeza M, Rubio M, Prieto A. Delayed Type Hypersensitivity to Iodinated Contrast Media: Diagnosis and Cross-reactivity. J Allergy Clin Immunol 2009. [DOI: 10.1016/j.jaci.2008.12.919] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
|
21
|
Prieto A, Tornero P, Rubio M, Fernández-Cruz E, Rodriguez-Sainz C. Missense mutation Thr309Lys in the coagulation factor XII gene in a Spanish family with hereditary angioedema type III. Allergy 2009; 64:284-6. [PMID: 19178407 DOI: 10.1111/j.1398-9995.2008.01764.x] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
BACKGROUND A new type of hereditary angioedema (type III) affecting mainly women with normal C1-inhibitor level and function has been described. Exposition to estrogens is an important precipitating factor. Recently, a missense mutation in the gene of the blood coagulation factor XII (Hageman factor) has been reported in a few families with this type of hereditary angioedema. AIM To study a patient and her family with recurrent swelling attacks during pregnancy. METHODS Complement factors C3 and C4 as well as C1-inhibitor level and function were determined. Genomic DNA was isolated from venous blood samples and screened for mutations in the coagulation factor XII gene. RESULTS C3 and C4 levels as well as C1-inhibitor level and function were normal. A missense mutation Thr309Lys was identified in factor XII gene with a heterozygotic pattern. This mutation was also identified in the mother of the patient, her daughter and her son. CONCLUSION These results support that the mentioned mutation in factor XII gene causes hereditary angioedema type III.
Collapse
Affiliation(s)
- A Prieto
- Allergy Service, Hospital General Universitario Gregorio Marañón, Madrid, Spain
| | | | | | | | | |
Collapse
|
22
|
Rollín R, Tornero P, Marco F, Camafeita E, Calvo E, López-Durán L, Jover JÁ, López JA, Lamas JR, Fernández-Gutiérrez B. Differential Proteome of Articular Chondrocytes From Patients with Osteoarthritis. ACTA ACUST UNITED AC 2008. [DOI: 10.4172/jpb.1000034] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
|
23
|
|
24
|
de Barrio M, Fuentes V, Tornero P, Sánchez I, Zubeldia J, Herrero T. Anaphylaxis to oral iron salts. desensitization protocol for tolerance induction. J Investig Allergol Clin Immunol 2008; 18:305-308. [PMID: 18714540] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/26/2023] Open
Abstract
Allergies to iron salts are seldom reported. We studied a patient with iron-deficiency anemia who had suffered anaphylactic reactions caused by oral iron salts. An allergy study was performed using single-blind, placebo-controlled oral challenge and skin tests with various iron salts as well as excipients in commercial formulations. Oral challenges were positive for 2 of the commercial formulations of iron salts. Intradermal tests with ferrous sulphate and ferrous lactate also showed positive results. All of the cutaneous tests using the excipients were negative. A desensitization protocol was designed which enabled us to readminister ferrous sulphate, although antihistamines were necessary to guarantee good tolerance to iron salts. We report a patient with allergy to iron salts, positive skin tests, and positive controlled challenge. We highlight the desensitization protocol designed to complete the therapeutic management of the anemia.
Collapse
Affiliation(s)
- M de Barrio
- Allergy Department, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
| | | | | | | | | | | |
Collapse
|
25
|
Prieto A, De Barrio M, Martín E, Fernández-Bohórquez M, de Castro FJ, Ruiz FJ, Herrero T, Tornero P, Rubio M. Tolerability to nabumetone and meloxicam in patients with nonsteroidal anti-inflammatory drug intolerance. J Allergy Clin Immunol 2007; 119:960-4. [PMID: 17292954 DOI: 10.1016/j.jaci.2006.12.616] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2006] [Revised: 12/08/2006] [Accepted: 12/12/2006] [Indexed: 10/23/2022]
Abstract
BACKGROUND Because nonsteroidal anti-inflammatory drug (NSAID) intolerance depends on COX-1 inhibition, preferential or selective COX-2 inhibitors have been thought to be well tolerated by these patients. OBJECTIVE The aim of this study is to evaluate tolerability to nabumetone and meloxicam in patients with NSAID intolerance. METHODS Seventy patients intolerant to NSAIDs were selected. Thirty subjects were patients with asthma with respiratory (rhinitis-asthma) intolerance to NSAIDs (group A); 40 patients (group B) had cutaneous-mucous (urticaria-angioedema) NSAID intolerance. Diagnosis was based on clinical histories in all patients, and it was confirmed by positive single-blind placebo-controlled oral challenge test in 36 patients. After written informed consent, a single-blind placebo-controlled oral challenge test with nabumetone in all patients (2 g except for 11 patients who reached 1 g) and meloxicam (15 mg) in 51 patients was performed. RESULTS Of the total selected, 94.3% tolerated 1 g nabumetone. In those who reached the 2-g dose, the tolerability was 83.6%. With respect to meloxicam, 96.1% of patients, tolerated 15 mg. No significant difference in nabumetone and meloxicam tolerability was observed between groups A and B. CONCLUSION The results of this study confirm a high percentage of tolerability to the maximum therapeutic dosage of nabumetone and meloxicam in patients with NSAID intolerance, both in those with cutaneous/mucous manifestations and in those with respiratory disease. CLINICAL IMPLICATIONS Nabumetone and meloxicam are safe alternatives in NSAID-intolerant patients.
Collapse
Affiliation(s)
- Alicia Prieto
- Allergy Service, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
| | | | | | | | | | | | | | | | | |
Collapse
|
26
|
Fuentes V, de Frutos C, de Barrio M, Barranco R, Herrero T, Tornero P. Unilateral conjunctival chemosis as a unique symptom of nonsteroidal anti-inflammatory drug intolerance. J Investig Allergol Clin Immunol 2007; 17:62-4. [PMID: 17323868] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/14/2023] Open
Abstract
Patients with nonsteroidal anti-inflammatory drug (NSAID) intolerance usually have cutanous-mucosal or/and respiratory symptoms. We report the case of a patient who developed several episodes of left-eye conjunctivitis, manifested as conjunctival chemosis, with no other symptoms, after taking metamizole and other unidentified NSAIDs. We performed both a single blind placebo-controlled oral challenge test and conjunctival challenge test with different NSAIDs. The single blind placebo-controlled oral challenge was positive to ketoprofen and diclofenac. The conjunctival challenge with diclofenac and flurbiprofen was negative. The patient tolerated celecoxib and nabumetone. We believe this to be an exceptional case of NSAID intolerance as conjunctival chemosis has not hitherto been included in any of the classic types of pseudoallergic reactions.
Collapse
|
27
|
Calvo M, Tornero P, De Barrio M, Mínguez G, Infante S, Herrero T, Baeza ML. Erytema multiform due to hyaluronic acid (go-on). J Investig Allergol Clin Immunol 2007; 17:127-8. [PMID: 17460954] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/15/2023] Open
Affiliation(s)
- M Calvo
- Allergy Department, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
| | | | | | | | | | | | | |
Collapse
|
28
|
Ruiz-Hornillos FJ, Prieto A, De Castro FJ, Martín E, De Barrio M, Tornero P, Sotés MR. Allergic contact dermatitis due to vitamin K1contained in a cosmetic cream. Contact Dermatitis 2006; 55:246-7. [PMID: 16958924 DOI: 10.1111/j.1600-0536.2006.00903.x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
|
29
|
|
30
|
Herrero T, Tornero P, Infante S, Fuentes V, Sánchez MN, De Barrio M, Baeza ML. Diagnosis and management of hypersensitivity reactions caused by oxaliplatin. J Investig Allergol Clin Immunol 2006; 16:327-30. [PMID: 17039675] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/12/2023] Open
Abstract
Hypersensitivity reactions to oxaliplatin have been increasing since its introduction at the end of the 1990s, but allergy tests with antineoplastic drugs are rarely used to aid diagnosis. We describe 5 cases in which hypersensitivity reactions to oxaliplatin after several courses of chemotherapy were managed by allergy testing and desensitization. Skin prick tests were negative at 1 mg/mL in all patients, positive at 10 mg/mL in 2 tested patients, and negative in 10 control subjects. Intradermal tests were positive and not irritant at 0.01 to 0.001 mg/mL concentrations. A desensitization protocol with increasing concentrations and flow rates was successfully completed in all patients. We conclude that prick and intradermal skin tests are useful in the diagnosis of hypersensitivity reactions to oxaliplatin and that the desensitization protocol performed avoided discontinuation of chemotherapy in all patients.
Collapse
Affiliation(s)
- T Herrero
- Allergy Department, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
| | | | | | | | | | | | | |
Collapse
|
31
|
Prieto A, Herrero T, Rubio M, Tornero P, Baeza ML, Velloso A, Pérez C, De Barrio M. Urticaria due to mepivacaine with tolerance to lidocaine and bupivacaine. Allergy 2005; 60:261-2. [PMID: 15647053 DOI: 10.1111/j.1398-9995.2005.00648.x] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- A Prieto
- Servicio de Alergia, Hospital General Universitario Gregorio, Marañón, C/Dr. Esquerdo, 46, 28007 Madrid, Spain.
| | | | | | | | | | | | | | | |
Collapse
|
32
|
Tornero P, De Barrio M, Baeza ML, Herrero T. Cross-reactivity among p-amino group compounds in sulfonamide fixed drug eruption: diagnostic value of patch testing. Contact Dermatitis 2004; 51:57-62. [PMID: 15373844 DOI: 10.1111/j.0105-1873.2004.00274.x] [Citation(s) in RCA: 29] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
We studied 28 patients with fixed drug eruption (FDE) caused by sulfonamide antibiotics to investigate cross-reactivity between sulfonamide derivatives and p-amino compounds and to explore the usefulness of patch testing, as an alternative to controlled oral challenge testing (COCT), in diagnosis within this clinical area. COCT with sulfamethoxazole (SMX), sulfadiazine (SDZ), sulfamethizole (SMZ), furosemide (FU), procaine (PRO) and glipizide (GPZ) was performed. Patch testing (PT) with SMX and SDZ was carried out. In all patients, the diagnosis of FDE was confirmed by positive COCT and allergy to trimethoprim ruled out by COCT. 42.8 and 31.8% of the SMX-induced FDE patients reacted to SMZ and SDZ, respectively. All patients (n = 28) tolerated FU, PRO and GPZ. COCT performed with the 3 sulfonamide antibiotics in 12 patients was positive in 2 subjects with the 3 drugs, in 2 patients only with SMX and SMZ and in the remaining 8, SMX was the only causative drug. PT was positive in 5 of 25 patients positive on COCT. The probability of obtaining a positive PT was higher among patients who had a residual lesion than that among those who lacked this. Cross-reactivity between different sulfonamide antibiotics is thus variable, being most likely between SMX and SMZ. We have found no cross-reactivity between sulfonamide antibiotics and other sulfonamide derivatives or p-amino drugs in FDE. PT is a useful tool in the diagnosis of FDE, especially if there are residual lesions, because it avoided the need for COCT in 20% of patients.
Collapse
Affiliation(s)
- P Tornero
- Department of Allergology, Hospital General Universitario Gregorio Maranón, Madrid, Spain.
| | | | | | | |
Collapse
|
33
|
Baeza ML, Rodríguez A, Matheu V, Rubio M, Tornero P, de Barrio M, Herrero T, Santaolalla M, Zubeldia JM. Characterization of allergens secreted by Anisakis simplex parasite: clinical relevance in comparison with somatic allergens. Clin Exp Allergy 2004; 34:296-302. [PMID: 14987311 DOI: 10.1111/j.1365-2222.2004.01883.x] [Citation(s) in RCA: 61] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
BACKGROUND Diagnostic methods for the study of allergic reactions to Anisakis simplex (A.s.) based on whole-body extracts of the larva are clearly insufficient. OBJECTIVES To study the allergenicity of the proteins secreted by the parasite. Comparison with somatic antigens and determination of their clinical importance in allergic patients were also addressed. METHODS An excretory/secretory (E/S) extract was produced by culturing third-stage A.s. larvae. It was used to perform immediate skin tests and to determine specific IgE in 10 patients diagnosed with allergy to A.s. Both tests were compared with the results obtained with the whole-body extract (somatic (S)). The molecular weight (MW) of their allergens was determined by immunoblotting, and a single-blind placebo-controlled oral challenge with E/S proteins was performed. Finally, allergens' resistance to gastric pepsin and acid pH was explored. RESULTS A.s. larvae secreted allergens more potent than those present in the S extract. The skin prick test wheal area produced by E/S molecules and the absorbance obtained in the determination of specific IgE with these allergens (ELISA) were 5.8 times bigger than those obtained with S extract. MW allergens of 72 and 56 kDa in E/S extracts and those of 56, 48 and 43 kDa in S extract were recognized by more than 50% of the patients. Partial cross-reactivity between them was revealed by immunoblotting inhibition studies. Oral challenge with E/S extract (up to 479 microg) was negative in all the patients. Treatment of E/S proteins with gastric pepsin inhibited the binding of the E/S allergens for specific IgE. The acid pH did not affect the overall binding of IgE to E/S extract. It decreased by 15.23% and 19.96% at pH 4 and 2, but the difference was not statistically significant. CONCLUSION A.s. secretes allergens more potent than somatic antigens and should be used in the diagnostic procedures. These allergens are inactivated by the pepsin, which supports the theory that live larva is necessary to induce an allergic reaction in most of the patients.
Collapse
Affiliation(s)
- M L Baeza
- Hospital General Universitario Gregorio Marañón, Madrid, Spain.
| | | | | | | | | | | | | | | | | |
Collapse
|
34
|
Barranco R, Rodríguez A, de Barrio M, Trujillo MJ, de Frutos C, Matheu V, Tornero P, Herrero T. Sympathomimetic drug allergy: cross-reactivity study by patch test. Am J Clin Dermatol 2004; 5:351-5. [PMID: 15554736 DOI: 10.2165/00128071-200405050-00008] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
Abstract
INTRODUCTION Sympathomimetic (alpha-adrenergic) drugs are mainly used because of their vasoconstrictor properties, for nasal congestion, or as mydriatics. Although sympathomimetic drugs are used often, allergic reactions are rare, especially when the drugs are administered systemically. Cross-reactivity may exist among catecholamine derivatives, although reported data on this are contradictory. In this study, we investigate if there is cross-reactivity in patch tests among these drugs. MATERIAL AND METHODS Patch tests with 10% phenylephrine and 10% pseudoephedrine in petrolatum, and 10% and 20% ephedrine, 10% phenylpropanolamine, 5% fepradinol, 1% methoxamine, and 10% oxymetazoline, all administered in dimethyl sulfoxide (DMSO), were carried out in 14 patients with a history of allergy to any of these drugs. DMSO was used as the negative control. RESULTS All patients except one (patient number five) showed positive patch-test reactions to at least two different drugs. Nine patients (64.3%) were cross-sensitized to three or more different drugs, and 57.1% of patients were sensitized to four or more sympathomimetic drugs. Patients who experienced generalized rashes caused by orally administered pseudoephedrine had a stronger response and more cross-reactivity with other sympathomimetic drugs in patch tests than those who experienced local contact dermatitis. CONCLUSIONS We conclude that there is cross-reactivity among the different sympathomimetic drugs tested, especially if the drug is administered systemically.
Collapse
Affiliation(s)
- Ruth Barranco
- Allergy Unit, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
| | | | | | | | | | | | | | | |
Collapse
|
35
|
Rodríguez B, Rodríguez A, de Barrio M, Tornero P, Baeza ML. Asthma induced by canary food mix. Allergy Asthma Proc 2003; 24:265-8. [PMID: 12974193] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/04/2023]
Abstract
A 42-year-old woman reported immediate rhinoconjunctivitis, asthma, and contact urticaria while handling bird food. Skin-prick tests were positive to Lolium, Cynodon, Phragmites, Cupressus sempervirens, Cupressus arizonica, Chenopodium, sunflower pollen and seed, mugwort, chamomile, Chrysanthemum, Taraxacum, canary seed, and black seed (Guizotia abyssinica). The patient's serum-specific immunoglobulin (IgE) to Taraxacum, black seed, and canary seed was positive. Enzyme-linked immunosorbent assay inhibition studies revealed a 97 and 27% IgE-binding inhibition of whole canary food IgE by black seed and Taraxacum pollen, respectively. Sodium dodecyl sulfate-polyacrylamide gel electrophoresis immunoblotting showed two IgE-binding protein bands of 11 and 44 kDa in the G. abyssinica extract. These two bands were totally inhibited by sunflower seed, mugwort, and Taraxacum extracts. Specific bronchial challenge with black seed extract was positive. The patient was able to feed her canary with birdseeds after she removed black seeds. We report a case of asthma caused by black seed (G. abyssinica) used as canary food in a patient previously allergic to pollen (olea europaea, grass, and mugwort) and sunflower seeds.
Collapse
Affiliation(s)
- Benito Rodríguez
- Servicio de Alergia, Hospital General Universitario Gregorio Marañón, C/Doctor Esquerdo, 46, 28007 Madrid, Spain
| | | | | | | | | |
Collapse
|
36
|
|
37
|
Affiliation(s)
- M Díaz-Jara
- Allergology Department, H.G.U.'Gregorio Marañón', Madrid, Spain.
| | | | | | | | | | | |
Collapse
|
38
|
Sastre J, Iraola V, Figueredo E, Tornero P, Fernandez-Caldas E. Mites in Madrid. Allergy 2002. [DOI: 10.1046/j.0105-4538.2001.00001.x-i9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
|
39
|
Affiliation(s)
- Consolación de Frutos
- Servicio de Alergia, Hospital General Universitario Gregorio Marañón, C/Doctor Esquerdo, 46, 28007-Madrid, Spain
| | | | | | | | | | | |
Collapse
|
40
|
de Barrio M, Matheu V, Baeza ML, Tornero P, Rubio M, Zubeldia JM. Bezafibrate-induced anaphylactic shock: unusual clinical presentation. J Investig Allergol Clin Immunol 2002; 11:53-5. [PMID: 11436973] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/20/2023] Open
Abstract
We report a case of a patient who suffered generalized urticaria, chest tightness, wheezing, nausea, vomiting, hypotension, and loss of consciousness. Two hours earlier she had taken Eulitop Retard following lunch. She had tolerated all the implicated food after the reaction. Allergy evaluation revealed intense positive responses to intradermal tests with bezafibrate active component and Eulitop Retard (skin tests in control subjects were negative). Specific IgE tests (RAST) to Eulitop Retard were negative. An IgE mechanism is suggested to be responsible for this adverse reaction on the basis of the positive skin tets. The delayed onset (two hours) of this anaphylactic shock is unusual. Although infrequent, it may be caused by the specific pharmacokinetic characteristics of this drug, which is a slow releasing agent, mainly absorbed in the gut. The drug was taken just after lunch, and this concomitant food ingestion could also have produced a delay in gastric drainage and a retarded drug absorption. An IgE-mediated accelerated type reaction could also explain this delay. Apparently the patient reacted after the first contact to the drug, and the absence of a sensitization period is not usual in this type of immune reponse. Finally, we recommend the performance of prick and intradermal skin tests prior to any systemic challenge when allergic reactions to fibric acid derivatives are suspected.
Collapse
Affiliation(s)
- M de Barrio
- Servicio de Alergia, Hospital General Gregorio Marañón, Madrid, Spain.
| | | | | | | | | | | |
Collapse
|
41
|
|
42
|
Sastre J, Iraola V, Figueredo E, Tornero P, Fernandez-Caldas E. Mites in Madrid. Allergy 2002; 57:58-9. [PMID: 11991297] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/24/2023]
Affiliation(s)
- J Sastre
- Fundación Jiménez Díaz, Servicio de Alergia, Madrid, Spain.
| | | | | | | | | |
Collapse
|
43
|
Beitia JM, Tornero P, Sainz JC, Barranco R, Infante S, Baeza ML, Herrero T. Contact dermatitis caused by Anisakis Simplex: A case report. J Allergy Clin Immunol 2002. [DOI: 10.1016/s0091-6749(02)81334-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
|
44
|
Abstract
Measuring the growth of pathogenic bacteria in leaves is a mainstay of plant pathology studies. We have made significant improvements to standard methods that will not only increase the throughput but also reduce the space limitations. Additionally, the method described here is as accurate as the standard method. Briefly, we infected leaves by dipping whole seedlings of Arabidopsis into a bacterial solution containing a surfactant. After harvest, the seedlings were then simply shaken in buffer. The resulting bacterial solutions were diluted in microtitre plates and spotted onto agar plates. Colony-forming units were then counted 40 h after plating. Therefore, we have eliminated most of the labour-intensive steps involved in measuring the growth of bacteria in Arabidopsis, and describe a method that could be automated. The assay is sensitive enough to detect small differences between pathogens or ecotypes.
Collapse
Affiliation(s)
- P Tornero
- Department of Biology and Curriculum in Genetics, Coker Hall 108, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA
| | | |
Collapse
|
45
|
Affiliation(s)
- R Barranco
- Servicio de Alergia, Hospital General Universitario Gregorio Marañón, C/ Doctor Esquerdo 46, 28007-Madrid, Spain
| | | | | | | | | | | |
Collapse
|
46
|
Trujillo MJ, de Barrio M, Rodríguez A, Moreno-Zazo M, Sánchez I, Pelta R, Tornero P, Herrero T. Piroxicam-induced photodermatitis. Cross-reactivity among oxicams. A case report. Allergol Immunopathol (Madr) 2001; 29:133-6. [PMID: 11674927 DOI: 10.1016/s0301-0546(01)79046-5] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
BACKGROUND there is a group of patients with contact allergy to thimerosal (thiosalicylic acid and ethylmercuric chloride), thiosalicylic acid sensitized, who develop photodermatitis to piroxicam. We present a case which we have investigated cross-reactivity among different oxicams. METHODS AND RESULTS a 44-year-old man with contact allergy to thimerosal. A few hours after the intake of Feldene (piroxicam) while running outside, developed a papuloerithematosus exanthema in the neck, knees and forearms, and microvesicles on the finger webs, that became descamative a few days later. Oclusive patch tests with thiosalicylic acid, mercury, piroxicam, tenoxicam, droxicam and meloxicam and photopatch test with the oxicams were performed. Patch tests with thiosalicylic acid and piroxicam were positive and negative with the others. All the oxicams photopatch tests were positive. CONCLUSIONS we present a case of photodermatitis and dermatitis to piroxicam, in a patient with contact allergy to the thiosalicylic moiety of thimerosal, in which cross-reactivity with the other oxicams have been demonstrated. In cases of oxicams-induced photodermatitis, all oxicams should be avoided, to elude posible cross-reactions.
Collapse
|
47
|
Gracia-Bara MT, Matheu V, Zubeldia JM, Rubio M, Ordoqui E, López-Sáez MP, Sierra Z, Tornero P, Baeza ML. Anisakis simplex-sensitized patients: should fish be excluded from their diet? Ann Allergy Asthma Immunol 2001; 86:679-85. [PMID: 11428742 DOI: 10.1016/s1081-1206(10)62298-3] [Citation(s) in RCA: 29] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
BACKGROUND Anisakis simplex (A.s.) allergy is an emerging disease. The third-stage larvae of this nematode are a source of hidden allergens in fish. There are no clear guidelines concerning dietary restrictions for patients with serum-specific IgE to this parasite. OBJECTIVE To follow up the clinical data and immunological parameters of patients sensitized to A.s. during 6 to 23 months. METHODS The clinical symptoms and serologic status of 17 patients with specific IgE and positive skin prick test results to A.s. were studied prospectively. Six of these had anaphylaxis (ANA) attributed to A.s. and 11 patients experienced concomitant chronic urticaria (CU). All patients were advised not to eat fish for 6 months. RESULTS Four patients from the ANA group excluded fish, and ANA did not recur. Two other patients with ANA refused to exclude fish; one remained free of symptoms and the other experienced several urticarial episodes. During this 6-month period total IgE levels decreased in all six ANA patients; specific IgE for A.s. decreased in four patients and increased in two. Two patients from the CU group did not exclude fish, and symptoms persisted in these two patients. Clinical improvement was observed in 78% of the patients with CU who excluded fish. Total and specific IgE levels decreased in all the patients with CU. CONCLUSIONS Because ANA symptoms are very severe, patients should always be advised to exclude fish until specific food allergens are identified. However, in patients with CU and specific IgE to A.s., only the clinical response to fish ingestion will determine the need for strict fish avoidance.
Collapse
Affiliation(s)
- M T Gracia-Bara
- Sección de Alergia, Hospital General Universitario Gregorio Marañón, Madrid, Spain
| | | | | | | | | | | | | | | | | |
Collapse
|
48
|
Abstract
BACKGROUND Exposure to acrylates may give rise to rhinitis and asthma in both industrial and domestic environments. The mechanisms underlying these respiratory conditions caused by acrylates remain largely unknown. METHODS We studied two assembly operators exposed to cyanoacrylate glue who developed rhinitis and asthma symptoms. The causal relationship of these symptoms to cyanoacrylate glue exposure was investigated by serial peak expiratory flow (PEF) monitoring at work and off work. Moreover, inhalation testing was performed by asking the patients to mimic exposure at work with the cyanoacrylate glue in a 7-m3 challenge chamber. RESULTS Serial PEF monitoring at work and away from work was consistent with occupational asthma in both patients. The methacholine inhalation test was negative in patient 1 (off work) and showed bronchial hyperresponsiveness in patient 2. After 20-min exposure to cyanoacrylate, the patients had late and progressive asthmatic reactions, respectively, and the methacholine test became positive in patient 1. Induced-sputum samples obtained 3 and 24 h after the cyanoacrylate challenge showed a marked increase in sputum eosinophils. CONCLUSION Exposure to cyanoacrylate in these patients provoked not only variable airflow limitation and bronchial hyperresponsiveness, but also pronounced eosinophilia in sputum.
Collapse
Affiliation(s)
- S Quirce
- Fundación Jiménez Díaz, Universidad Autónoma de Madrid, Madrid, Spain
| | | | | | | | | | | |
Collapse
|
49
|
Affiliation(s)
- A Pérez
- Hospital Gregorio Marañon, Madrid, Spain
| | | | | | | | | | | | | |
Collapse
|
50
|
Perez A, Cabrerizo S, de Barrio M, Diaz MP, Herrero T, Tornero P, Baeza ML. Erythema-multiforme-like eruption from amoxycillin and allopurinol. Contact Dermatitis 2001. [DOI: 10.1034/j.1600-0536.2001.440209-15.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
|