In vitro diagnosis of immediate allergic reactions to drugs: an update.

Autor: Mayorga C; Research Laboratory, Fundación IMABIS--Carlos Haya Hospital, Malaga, Spain. mayorga.lina@gmail.com, Sanz ML, Gamboa PM, García BE, Caballero MT, García JM, Labrador M, Lahoz C, Longo Areso N, López Hoyos M, Martínez Quesada J, Monteseirín FJ
Jazyk: angličtina
Zdroj: Journal of investigational allergology & clinical immunology [J Investig Allergol Clin Immunol] 2010; Vol. 20 (2), pp. 103-9.
Abstrakt: Evaluation of allergic reactions to drugs is difficult because of the poor sensitivity of in vivo tests, which makes controlled administration of the drug necessary to confirm the diagnosis. In vitro tests are important in order to avoid the risks of in vivo testing. In the present review, we describe the different methods for detecting immunoglobulin (Ig) E antibodies that are specific to drugs involved in the development of type I (immediate) reactions. The 2 main in vitro methods are immunoassays and the basophil activation test, both of which have sufficient sensitivity and specificity for the detection of specific IgE antibodies, although with a limited number of drugs, and they have proven complementary to in vivo methods. We show the importance of the allergological workup of the patient within less than 1 year from the occurrence of the allergic reaction in order to obtain positive results in both in vivo and in vitro tests.
Databáze: MEDLINE