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Immediate-type Reactions (immediate-type + reaction)

Distribution by Scientific Domains
Medical Sciences100%
Distribution within Medical Sciences
Allergy & Clinical Immunology40%

Selected Abstracts

Detection of immediate-type reaction to the epitope of ,-lactam antibiotics by the quick patch test

BRITISH JOURNAL OF DERMATOLOGY, Issue 1 2003
M. Oi
No abstract is available for this article. [source]

The cells and mediators of allergic inflammation

CLINICAL & EXPERIMENTAL ALLERGY REVIEWS, Issue 1 2002
A. B. Kay
Summary In sensitized atopic subjects allergen administration results in an immediate-type reaction and, depending on the dose of the allergen, an additional late-phase reaction. The early reaction results largely from the release of histamine, leukotrienes and other mediators from mast cells. The cutaneous late-phase reaction is probably also predominantly mast-cell-dependent. The late asthmatic reaction, however, also involves T-cell activation. T cells release a cascade of factors which evoke the migration of many cell types, including eosinophils, neutrophils and macrophages into the site of inflammation, under the influence of a complex combination of cytokines and chemokines. Neural inflammation (i.e. neuropeptides and neurotrophins) may also be involved. The identification of the processes underlying the inflammatory response to allergens, and their control mechanisms, provides specific targets for therapeutic measures (such as the use of monoclonal antibodies and soluble receptor molecules) which are designed to impede or abolish the allergic inflammatory cascade. [source]

Hypersensitivity to local anaesthetics , update and proposal of evaluation algorithm

CONTACT DERMATITIS, Issue 2 2008
Jacob Pontoppidan Thyssen
Local anaesthetics (LA) are widely used drugs. Adverse reactions are rare but may be caused by delayed-type hypersensitivity reactions and probably also immediate-type reactions. As it is not always easy to clinically differ between these subtypes, allergy skin testing should be considered. Although numerous test protocols have been published, how patients with hypersensitivity reactions to LA are ideally evaluated remains a topic of discussion. This review attempts to generate a comprehensive update on allergic reactions to LA and to present an algorithm that can be used for the evaluation of patients suspected with immediate- and delayed-type immune reactions. Literature was examined using PubMed-Medline, EMBASE, Biosis and Science Citation Index. Based on the literature, the proposed algorithm may safely and rapidly distinguish between immediate-type and delayed-type allergic immune reactions. [source]

Delayed- and immediate-type reactions in the atopy patch test with food allergens in young children with atopic dermatitis

PEDIATRIC ALLERGY AND IMMUNOLOGY, Issue 1 2009
A. C. A. Devillers
In recent years, the atopy patch test (APT) has been suggested as an addition in the allergological work-up of children with atopic dermatitis (AD) and suspected food allergy. We initiated a prospective clinical study in children with AD younger than 3 yr, to evaluate the additional clinical value of the APT next to our own standardized allergological work-up in case of a suspected food allergy. One hundred and thirty-five children were included in the study. They were tested using the skin application food test (SAFT), the APT and measurement of specific IgE. The allergens used in the skin tests were freshly prepared food stuffs and included commercially available cow's milk (CM), the egg white of a hard boiled hen's egg and mashed peanuts in a saline solution. Allergy was defined using a flowchart incorporating the results from the SAFT, oral challenges (OCs) and elimination and (re)introduction periods. To determine the additional value of the APT next to the SAFT, we analyzed the SAFT negative patients per allergen and used an exact binary logistic analysis to evaluate the simultaneous effects of the APT and measurement of specific IgE, calculating mutually adjusted odds ratios (ORs) for positive APTs and specific IgE levels above 0.70 U/l. We found clinically relevant food allergies in 23% (egg white) to 28% (CM and peanut) of our study population. Positive SAFT reactions were observed in 14% (peanut), 16% (egg white) and 21% (CM) of our patient population. Next to the SAFT, we did not observe a significant additional value of the APT for the diagnosis of CM or egg white allergy, but we did find a significant additional value for the diagnosis of peanut allergy (OR = 11.56; p < 0.005, 2-sided). In clinical practice this statistically significant value does not exclude the need for OC and controlled elimination and (re)introduction periods due to the presence of false-negative as well as false-positive results in the APT. In conclusion, we could not find enough support for the current addition of the APT to our standardized allergological work-up in young children below the age of 3 yr with AD and suspected food allergy. At the moment the additional value of the classical delayed-type APT next to the SAFT seems to be very limited at best in this study population and does not justify the time-consuming nature of the skin test. [source]

Occupational immediate-type asthma and rhinitis due to rhodium salts

AMERICAN JOURNAL OF INDUSTRIAL MEDICINE, Issue 1 2010
Rolf Merget MD
Abstract Background Whereas platinum salts are well known occupational allergens, rhodium salts have not been identified as inhalative sensitizing substances. Methods A 27-year-old atopic operator of an electroplating plant developed work-related shortness of breath and runny nose with sneezing after exposure to rhodium salts. Quantitative skin prick tests (SPT) and bronchial challenge tests with a dosimeter protocol were performed with quadrupling doses of the sodium chloride salts of rhodium (Na3RhCl6) and platinum (Na2PtCl6). Results The patient showed positive SPT reactions and positive bronchial immediate-type reactions with rhodium and platinum salts. Sensitivity to rhodium salt was much higher than to platinum salt; the molar concentrations differed by a factor of 256 in SPT and a factor of 16 in bronchial challenges. Conclusions Rhodium salts should be considered as occupational immediate-type allergens. Am. J. Ind. Med. 53:42,46. 2010. © 2009 Wiley-Liss, Inc. [source]