CONTROVERSIES IN DRUG ALLERGY: TESTING FOR DELAYED REACTIONS

Autor: Andreas J. Bircher, Wen-Hung Chung, Luciana Kase Tanno, Jean-Claude Roujeau, Neil H. Shear, Jason A Trubiano, Paul L. Bigliardi, Rannakoe J. Lehloenya, Ana Dioun Broyles, Jonny Peter, Annick Barbaud, Rocco Luigi Valluzzi, Maja Mockenhaupt, Elizabeth J. Phillips, Yoon-Seok Chang, Munir Pirmohamed
Přispěvatelé: Gestionnaire, Hal Sorbonne Université, Vanderbilt University Medical Center [Nashville], Vanderbilt University [Nashville], University of Minnesota [Twin Cities] (UMN), University of Minnesota System, University of Basel (Unibas), Boston Children's Hospital, Harvard Medical School [Boston] (HMS), Seoul National University [Seoul] (SNU), University of Cape Town, University of Freiburg [Freiburg], University of Liverpool, Université Paris-Est Créteil Val-de-Marne - Paris 12 (UPEC UP12), University of Toronto, Sunnybrook Health Sciences Center, CHU Montpellier, Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier), Institut Pierre Louis d'Epidémiologie et de Santé Publique (iPLESP), Institut National de la Santé et de la Recherche Médicale (INSERM)-Sorbonne Université (SU), University of Melbourne, IRCCS Ospedale Pediatrico Bambino Gesù [Roma], Service de dermatologie et allergologie [CHU Tenon], CHU Tenon [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU), Sorbonne Université (SU), Interactions Gènes-Risques environnementaux et Effets sur la Santé (INGRES), Université de Lorraine (UL), Sorbonne Université (SU)-Institut National de la Santé et de la Recherche Médicale (INSERM), Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Drug
medicine.medical_specialty
fixed drug eruption
media_common.quotation_subject
Immunology
Drug allergy
HLA-B15 Antigen
acute generalized exanthematous pustulosis
Southeast asian
Article
030207 dermatology & venereal diseases
03 medical and health sciences
0302 clinical medicine
Asian People
Drug tolerance
Stevens-Johnson syndrome/toxic epidermal necrolysis
drug reaction with eosinophilia and systemic symptoms
medicine
Immunology and Allergy
Animals
Humans
patch
[SDV.IMM.ALL]Life Sciences [q-bio]/Immunology/Allergology
intradermal
Exanthem
media_common
Skin Tests
business.industry
Delayed
prick
[SDV.MHEP.DERM] Life Sciences [q-bio]/Human health and pathology/Dermatology
[SDV.SP]Life Sciences [q-bio]/Pharmaceutical sciences
Acute generalized exanthematous pustulosis
medicine.disease
Dermatology
Toxic epidermal necrolysis
Dideoxynucleosides
3. Good health
HLA
[SDV.SP] Life Sciences [q-bio]/Pharmaceutical sciences
Carbamazepine
oral challenge
030228 respiratory system
HLA-B Antigens
Stevens-Johnson Syndrome
business
[SDV.IMM.ALL] Life Sciences [q-bio]/Immunology/Allergology
[SDV.MHEP.DERM]Life Sciences [q-bio]/Human health and pathology/Dermatology
Adverse drug reaction
Zdroj: Journal of Allergy and Clinical Immunology
Journal of Allergy and Clinical Immunology, Elsevier, 2019, 143 (1), pp.66-73. ⟨10.1016/j.jaci.2018.10.030⟩
JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY
ISSN: 0091-6749
DOI: 10.1016/j.jaci.2018.10.030⟩
Popis: International audience; Controversies exist with regard to in vivo approaches to delayed immunologically mediated adverse drug reactions, such as exanthem (maculopapular eruption), drug reaction with eosinophilia and systemic symptoms, acute generalized exanthematous pustulosis, Stevens-Johnson syndrome/toxic epidermal necrolysis, and fixed drug eruptions. In particular, widespread differences exist between regions and practice on the availability and use of intradermal and patch testing, the standard drug concentrations used, the use of additional drugs in intradermal and patch testing to help determine cross-reactivity, the timing of testing in relation to the occurrence of the adverse drug reaction, the use of testing in specific phenotypes, and the use of oral challenge in conjunction with delayed intradermal and patch testing to ascertain drug tolerance. It was noted that there have been advances in the science of delayed T cell-mediated reactions that have shed light on immunopathogenesis and provided a mechanism of preprescription screening in the case of HLA-B*57:01 and abacavir hypersensitivity and HLA-B*15:02 and carbamazepine Stevens-Johnson syndrome/toxic epidermal necrolysis in Southeast Asian subjects. Future directions should include the collaboration of large international networks to develop and standardize in vivo diagnostic approaches, such as skin testing and patch testing, combined with ex vivo and in vitro laboratory approaches.
Databáze: OpenAIRE