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药物是引起过敏的重要因素。

Drugs as important factors causing allergies.

作者信息

Żukiewicz-Sobczak Wioletta A, Wróblewska Paula, Adamczuk Piotr, Zwoliński Jacek, Oniszczuk Anna, Wojtyła-Buciora Paulina, Silny Wojciech

机构信息

Pope John Paul II State School of Higher Education, Biala Podlaska, Poland. Rector of the School: Prof. Józef Bergier.

Department of Allergology and Environmental Hazards, Institute of Rural Health, Lublin, Poland. Head of the Department: Wioletta A. Żukiewicz-Sobczak PhD.

出版信息

Postepy Dermatol Alergol. 2015 Oct;32(5):388-92. doi: 10.5114/pdia.2014.44021. Epub 2015 Oct 29.

Abstract

Medications can cause many adverse reactions, both non-immunologic and immunologic ones. Allergies can take many forms, allergic reactions include all types of reactions according to Gell and Coombs. Typically, allergic reactions to drugs are manifested by skin lesions such as maculopapular rash or urticaria and life-threatening systemic reactions such as anaphylaxis. Allergy to drugs is diagnosed based on medical history and a number of specific tests: skin tests, blood tests. In diagnosing the causes of anaphylaxis, the basophil activation test is used to exclude false negative and false positive results of skin tests and specific IgE levels. Allergic reactions to medications usually resolve themselves after discontinuation of the drug. Sometimes in the treatment anti-allergic drugs are used to inhibit the development of skin lesions. After observing any signs of drug allergy it is important to accurately diagnose the cause, since the subsequent exposure to the drug may lead to a strong anaphylactic reaction and consequently death.

摘要

药物可引起许多不良反应,包括非免疫性和免疫性不良反应。过敏反应有多种形式,根据盖尔和库姆斯的分类,过敏反应包括所有类型的反应。通常,药物过敏反应表现为皮肤病变,如斑丘疹或荨麻疹,以及危及生命的全身反应,如过敏反应。药物过敏是根据病史和一些特定检查来诊断的:皮肤试验、血液检查。在诊断过敏反应的原因时,嗜碱性粒细胞活化试验用于排除皮肤试验和特异性IgE水平的假阴性和假阳性结果。药物过敏反应通常在停药后自行缓解。有时在治疗中会使用抗过敏药物来抑制皮肤病变的发展。观察到任何药物过敏迹象后,准确诊断病因很重要,因为随后再次接触该药物可能会导致强烈的过敏反应,甚至死亡。

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