Hypersensitivity to nonsteroidal anti-inflammatory drugs (NSAIDs) - classification, diagnosis and management: review of the EAACI/ENDA and GA2LEN/HANNA

Kowalski M. L., Makowska J. S., Blanca M., BAVBEK S., Bochenek G., Bousquet J., ...Daha Fazla

ALLERGY, cilt.66, sa.7, ss.818-829, 2011 (SCI-Expanded) identifier identifier identifier identifier

  • Yayın Türü: Makale / Derleme
  • Cilt numarası: 66 Sayı: 7
  • Basım Tarihi: 2011
  • Doi Numarası: 10.1111/j.1398-9995.2011.02557.x
  • Dergi Adı: ALLERGY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.818-829
  • Anahtar Kelimeler: aspirin hypersensitivity, drug allergy, nonsteroidal anti-inflammatory drugs, TOXIC EPIDERMAL NECROLYSIS, PERIPHERAL-BLOOD LEUKOCYTES, STEVENS-JOHNSON-SYNDROME, CHRONIC IDIOPATHIC URTICARIA, ORAL ASPIRIN CHALLENGES, IN-VITRO DIAGNOSIS, BASOPHIL ACTIVATION, PROVOCATION TESTS, COX-2 INHIBITORS, INTERSTITIAL NEPHRITIS
  • Ankara Üniversitesi Adresli: Evet

Özet

P>Nonsteroidal anti-inflammatory drugs (NSAIDs) are responsible for 21-25% of reported adverse drug events which include immunological and nonimmunological hypersensitivity reactions. This study presents up-to-date information on pathomechanisms, clinical spectrum, diagnostic tools and management of hypersensitivity reactions to NSAIDs. Clinically, NSAID hypersensitivity is particularly manifested by bronchial asthma, rhinosinusitis, anaphylaxis or urticaria and variety of late cutaneous and organ-specific reactions. Diagnosis of hypersensitivity to a NSAID includes understanding of the underlying mechanism and is necessary for prevention and management. A stepwise approach to the diagnosis of hypersensitivity to NSAIDs is proposed, including clinical history, in vitro testing and/or provocation test with a culprit or alternative drug depending on the type of the reaction. The diagnostic process should result in providing the patient with written information both on forbidden and on alternative drugs.