Recent technical approaches to investigating drug hypersensitivity have provided a great deal of information to solve the mechanisms that remain poorly understood. First, immunological investigations and in silico analysis have revealed that a novel interaction between T cells and antigen-presenting cells, namely the pharmacological interaction concept, is involved in drug recognition and the h...

Background Drug desensitization is the induction of temporary clinical unresponsiveness todrug antigens to which patients have presented severe hypersensitivity reactions (HSR). Rapid desensitization in patients suffering immediate hypersensitivity reactions with chemotherapeutic agents and monoclonal antibodies have been widely described and have shown to be successful. Non-immediate hypersens...

The authors present the in vivo investigation options drug allergy. In suspicion of induced hypersensitivity reaction prick testing, intradermal testing and patch are recommended according to assumed immuno-mechanism. If these examinations negative, next step is provocation test, which gold standard diagnosis We summarize methods, indications contraindications evaluationof each focusing on issu...

Drug hypersensitivity can preclude patients from receiving the drug of choice to treat a specific illness. In some cases, such as penicillin allergy in a pregnant woman with syphilis,1 the drug is clearly indicated, and allergists may be called on to induce temporary drug tolerance (desensitize). In other cases, the medication benefit is not as clear, and allergists must weigh desensitization (...

Drug hypersensitivity with myocarditis is known to occur with many drugs especially with antiepileptics, sulpha-compounds and daposne. Dapsone (4, 4 diaminodiphenyl sulphone) induced hypersensitivity is known to occur in about 2% of leprosy patients on treatment and an incidence of 1.66% in non-leprosy patients. We report this rare case of dapsone hypersensitivity syndrome in a girl on dapsone ...

BACKGROUND Multiple drug hypersensitivity (MDH) was first described in 1989 by Sullivan et al. as drug allergies to two or more chemically different drugs. So far, the diagnosis of MDH was associated almost exclusively with antibiotics and was defined based on history alone. AIMS OF THE STUDY The objective of this study was to prove MDH by two independent tests, namely patch (PT) and lymphocy...

A study was performed to assess the time between drug intake and drug induced hypersensitivity reaction for patients sensitive to nonsteroidal antiinflammatory drugs (NSAID) in clinical patient history and after oral provocation tests. Drug hypersensitivity ENDA questionnaires were filled for the patients with suspected sensitivity to NSAID. Oral provocation tests were performed with suspected ...