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多种药物过敏综合征:一种独特的临床实体。

Multiple drug allergy syndrome: a distinct clinical entity.

作者信息

Asero R

机构信息

Ospedale Caduti Bollatesi, Bollate, MI, Italy.

出版信息

Curr Allergy Rep. 2001 Jan;1(1):18-22. doi: 10.1007/s11882-001-0092-5.

DOI:10.1007/s11882-001-0092-5
PMID:11899280
Abstract

Multiple drug allergy syndrome is a clinical condition characterized by a propensity to react against different, chemically unrelated antibiotic or nonantibiotic drugs. The origin of this syndrome is still elusive. This article critically examines the medical literature on multiple drug allergy syndrome, compares and discusses recent personal observations obtained in patients with intolerance to multiple antibiotic or anti-inflammatory drugs, suggests possible pathogenic mechanisms for this type of drug allergy, and reports on current personal research in this field.

摘要

多种药物过敏综合征是一种临床病症,其特征为倾向于对不同的、化学结构不相关的抗生素或非抗生素药物产生反应。该综合征的病因仍不明确。本文对有关多种药物过敏综合征的医学文献进行了批判性审视,比较并讨论了近期在对多种抗生素或抗炎药物不耐受的患者中获得的个人观察结果,提出了这类药物过敏可能的致病机制,并报告了该领域目前的个人研究情况。

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1
Multiple drug allergy syndrome: a distinct clinical entity.多种药物过敏综合征:一种独特的临床实体。
Curr Allergy Rep. 2001 Jan;1(1):18-22. doi: 10.1007/s11882-001-0092-5.
2
Sera from patients with multiple drug allergy syndrome contain circulating histamine-releasing factors.患有多种药物过敏综合征的患者血清中含有循环组胺释放因子。
Int Arch Allergy Immunol. 2003 Jul;131(3):195-200. doi: 10.1159/000071486.
3
The role of drug, dose, and the tolerance/intolerance of new drugs in multiple drug hypersensitivity syndrome.药物、剂量以及新药在多药物过敏综合征中的耐受性/不耐受性的作用。
Allergy. 2020 May;75(5):1178-1187. doi: 10.1111/all.14146. Epub 2020 Jan 1.
4
Intolerance to nonsteroidal anti-inflammatory drugs might precede by years the onset of chronic urticaria.
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Approach to managing patients with sulfa allergy: use of antibiotic and nonantibiotic sulfonamides.磺胺类药物过敏患者的管理方法:抗生素和非抗生素类磺胺的使用
Can Fam Physician. 2006 Nov;52(11):1434-8.
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Tackling the Patient with Multiple Drug "Allergies": Multiple Drug Intolerance Syndrome.应对患有多种药物“过敏”的患者:多重药物不耐受综合征。
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本文引用的文献

1
Multiple antibiotic sensitivity syndrome in children.儿童多重抗生素敏感性综合征
Can J Clin Pharmacol. 2000 Spring;7(1):38-41.
2
Chronic urticaria serum induces histamine release, leukotriene production, and basophil CD63 surface expression--inhibitory effects ofanti-inflammatory drugs.慢性荨麻疹血清诱导组胺释放、白三烯生成及嗜碱性粒细胞CD63表面表达——抗炎药物的抑制作用
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3
Association of HLA-DR11 with the anaphylactoid reaction caused by nonsteroidal anti-inflammatory drugs.
多重药物过敏综合征和多重药物不耐受综合征的特征、流行病学及危险因素:一项系统综述
Clin Transl Allergy. 2022 Aug 22;12(8):e12190. doi: 10.1002/clt2.12190. eCollection 2022 Aug.
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Levels of cytokines in drug hypersensitivity.药物超敏反应中细胞因子的水平。
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Multidrug intolerance in the treatment of hypertension: result from an audit of a specialized hypertension service.高血压治疗中的多药不耐受:一项高血压专科服务审计的结果
Ther Adv Drug Saf. 2017 Aug;8(8):253-258. doi: 10.1177/2042098617705625. Epub 2017 Apr 25.
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Multiple drug intolerance syndrome: a large-scale retrospective study.多种药物不耐受综合征:一项大规模回顾性研究。
Drug Saf. 2014 Dec;37(12):1037-45. doi: 10.1007/s40264-014-0236-x.
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Ferumoxytol: a silver lining in the treatment of anemia of chronic kidney disease or another dark cloud?铁羧麦芽糖:是慢性肾脏病贫血治疗中的一线希望还是又一片乌云?
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Management of multiple drug allergies in children.儿童多种药物过敏的管理。
Curr Allergy Asthma Rep. 2012 Feb;12(1):79-84. doi: 10.1007/s11882-011-0239-y.
9
Anaphylactic reaction to anakinra in a rheumatoid arthritis patient intolerant to multiple nonbiologic and biologic disease-modifying antirheumatic drugs.一名对多种非生物和生物改善病情抗风湿药物不耐受的类风湿关节炎患者对阿那白滞素发生过敏反应。
Ann Pharmacother. 2009 May;43(5):967-72. doi: 10.1345/aph.1L573.
HLA - DR11与非甾体抗炎药引起的类过敏反应的关联。
J Allergy Clin Immunol. 1999 Apr;103(4):685-9. doi: 10.1016/s0091-6749(99)70243-5.
4
Atopy and intolerance of antimicrobial drugs increase the risk of reactions to acetaminophen and nimesulide in patients allergic to nonsteroidal anti-inflammatory drugs.
Allergy. 1998 Sep;53(9):880-4. doi: 10.1111/j.1398-9995.1998.tb03995.x.
5
Aspirin and paracetamol tolerance in patients with nimesulide-induced urticaria.尼美舒利诱发的荨麻疹患者对阿司匹林和对乙酰氨基酚的耐受性
Ann Allergy Asthma Immunol. 1998 Sep;81(3):237-8. doi: 10.1016/S1081-1206(10)62818-9.
6
Detection of patients with multiple drug allergy syndrome by elective tolerance tests.
Ann Allergy Asthma Immunol. 1998 Feb;80(2):185-8. doi: 10.1016/S1081-1206(10)62953-5.
7
Long-term tolerability of nimesulide and acetaminophen in nonsteroidal antiinflammatory drug-intolerant patients.
Ann Allergy Asthma Immunol. 1997 Jul;79(1):47-50. doi: 10.1016/s1081-1206(10)63083-9.
8
Assessment of autoimmunity in patients with chronic urticaria.慢性荨麻疹患者自身免疫性的评估。
J Allergy Clin Immunol. 1997 Apr;99(4):461-5. doi: 10.1016/s0091-6749(97)70071-x.
9
Floctafenine: a valid alternative in patients with adverse reactions to nonsteroidal anti-inflammatory drugs.氟考丁宁:对非甾体抗炎药有不良反应患者的有效替代药物。
Ann Allergy Asthma Immunol. 1997 Jan;78(1):74-8. doi: 10.1016/S1081-1206(10)63376-5.
10
Intolerance to nonsteroidal antiinflammatory drugs: results of controlled drug challenges in 98 patients.
J Allergy Clin Immunol. 1996 Sep;98(3):678-85. doi: 10.1016/s0091-6749(96)70102-1.