Publication:
Anaphylaxis to 2 NSAIDs in a Patient Who Tolerated ASA.

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Date

2016

Authors

Bogas, G
Perez-Sanchez, N
Andreu, I
Doña, I
Perkins, J R
Blanca, M
Canto, G
Cornejo-Garcia, J A
Blanca-Lopez, N

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Esmon Publicidad
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Abstract

Nonsteroidal anti-inflammatory drugs (NSAIDs) are the most frequent cause of drug hypersensitivity [1]. NSAID-induced reactions can be classified into 5 categories: (1) NSAID-exacerbated respiratory disease (NERD); (2) NSAID-exacerbated cutaneous disease (NECD); (3) NSAID-induced urticaria and/or angioedema (NIUA); (4) single NSAID-induced urticaria/angioedema/anaphylaxis (SNIUAA); and (5) single NSAID-induced delayed hypersensitivity reactions (SNIDR) [2]. Patients in the first 3 categories react to NSAIDs from various chemical groups in a nonallergic type of drug hypersensitivity known as cross-intolerance. The mechanism involved in these reactions is thought to be related to an imbalance in the arachidonic acid metabolic pathway leading to increased release of cysteinyl leukotrienes.

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MeSH Terms

Anaphylaxis
Anti-Inflammatory Agents, Non-Steroidal
Aspirin
Humans
Male
Middle Aged

DeCS Terms

Antiinflamatorios no esteroideos
Urticaria
Hipersensibilidad a las drogas
Angioedema
Leucotrienos
Ácido araquidónico

CIE Terms

Keywords

ASA tolerance, Anaphylaxis, Cross-intolerance, NSAID hypersensitivity, Selective reactions, Hipersensibilidad a AINE, Intolerancia cruzada, Reacciones selectivas, Anafilaxia, Tolerancia a AAS

Citation

Bogas G, Pérez-Sánchez N, Andreu I, Doña I, Perkins JR, Blanca M, et al. Anaphylaxis to 2 NSAIDs in a Patient Who Tolerated ASA. J Investig Allergol Clin Immunol. 2016;26(4):266-8