Avtor/Urednik		Klar, Helena; Sotošek, Nika; Šelb, Julij; Košnik, Mitja
Naslov		Selective hypersensitivity to a single nonsteroidal anti-inflammatory drug
Tip		članek
Vol. in št.		Letnik 28, št. 3
Leto izdaje		2019
Obseg		str. 97-101
ISSN		1581-2979 - Acta dermatovenerologica Alpina, Panonica, et Adriatica
Jezik		eng
Abstrakt		Introduction: The aim of the study was to explore the frequency and the clinical and diagnostic characteristics of a single nonsteroidal anti-inflammatory drug-induced hypersensitivity (SNIUAA) subgroup. Methods: In the hospital information system we identified patients who performed the oral provocation test (OPT) with analgesics between 2004 and 2016. We divided patients into phenotype groups based on clinical history and OPT results. Results: Altogether, 248 patients (44.3% of phenotyped patients) were diagnosed with SNIUAA. The most common offending drug in SNIUAA was diclofenac (52.4%), followed by pyrazolones (30.7%). In the group with selective diclofenac hypersensitivity, there was a larger percentage (40.0%) of patients with anaphylaxis. Compared to other phenotypes, significantly fewer patients had OPT performed with the suspected drug in SINUAA; however, in 69.4% of patients in this group, OPT with acetylsalicylic acid was performed. Conclusions: SNIUAA was the most common phenotype of nonsteroidal anti-inflammatory drug hypersensitivity in our cohort. Diclofenac was the most common cause of the hypersensitivity reaction and also the most common cause of anaphylactic reaction. In the group of patients with a positive history after taking diclofenac or pyrazolone, fewer OPTs with the suspected drug were performed, but more often OPT with aspirin to prove that hypersensitivity is selective.
Deskriptorji		Drug hypersensitivity Anaphylaxis Drug-related side effects and adverse reactions Anti-inflammatory agents, non-steroidal Immunologic tests Diclofenac Pyrazolones Preobčutljivost za zdravila Anafilaksija Stranski in škodljivi učinki zdravil Nesteroidna protivnetna sredstva Imunološki testi Diklofenak Pirazoloni Adverse effects Škodljivi učinki
Proste vsebinske oznake		oralni provokacijski test oral provocation test