Literature DB >> 34045179

Hypersensitivity Reactions to Cancer Chemotherapy: Practical Recommendations of ARADyAL for Diagnosis and Desensitization.

A Vega1,2,3, T W Jimenez-Rodriguez2,4, R Barranco2,5, J Bartra2,6, M C Diéguez2,5, I Doña2,7,8, M Fernández-Rivas2,9, M Gandolfo-Cano2,10, G Gastaminza-Lasarte2,11, E González-Mancebo2,10, B de la Hoz Caballer2,12,13, L Sánchez-Morillas2,9, M J Torres2,7,8, M P Berges-Gimeno2,12, R Muñoz-Cano2,6.   

Abstract

Rapid drug desensitization has enabled first-line therapies in patients with drug hypersensitivity reactions to chemotherapeutic drugs including monoclonal antibodies. Desensitization is a safe and highly effective procedure, not only for IgE-mediated reactions, but also for those mediated by non-IgE mechanisms. The likelihood of breakthrough reactions during desensitization is low, and most are mild; in fact, moderate-to-severe reactions are infrequent. In this document, 16 allergy departments belonging to the Spanish research network ARADyAL present a review of the available scientific evidence and provide general guidelines for the diagnosis and management of drug hypersensitivity reactions to chemotherapeutic drugs and monoclonal antibodies. Emphasis is placed on the desensitization procedure.

Entities:  

Keywords:  Chemotherapy; Desensitization; Drug allergy; Drug challenge; Drug hypersensitivity; Monoclonal antibodies

Mesh:

Substances:

Year:  2021        PMID: 34045179     DOI: 10.18176/jiaci.0712

Source DB:  PubMed          Journal:  J Investig Allergol Clin Immunol        ISSN: 1018-9068            Impact factor:   4.333


  3 in total

1.  Converter Phenotype: A New Profile That Is Not Exclusive to Taxanes.

Authors:  Teodorikez Wilfox Jimenez-Rodriguez; Francisco Manuel Marco de la Calle; Inmaculada Lozano-Cubo; Rosa Ana Montoyo-Anton; Victor Soriano-Gomis; Purificación Gonzalez-Delgado; Amparo Burgos-San José; Seira Climent-Ballester; Natividad Martínez-Banaclocha; Javier Fernández-Sanchez
Journal:  Front Allergy       Date:  2022-01-12

2.  Use of Rapid Drug Desensitization in Delayed Hypersensitivity Reactions to Chemotherapy and Monoclonal Antibodies.

Authors:  Arantza Vega; M Isabel Peña; Inés Torrado
Journal:  Front Allergy       Date:  2022-01-14

3.  Same-Day Desensitization in Patients Who Experience Their First Reaction to a Platin Agent at the Oncology Day Unit: A Pilot Study to Safely Include This Technique Within the Multidisciplinary Pathways for the Diagnosis & Management of Hypersensitivity to Platin Agents.

Authors:  Julián Borrás Cuartero; Roxana Farzanegan Miñano; María Cruz Torres Gorriz; Adrián Germán Sánchez; Raquel Cervera Aznar; Isabela Raducan; Jose Vicente Castelló Carrascosa; Alfredo Sanchez Hernandez; Ernesto Enrique
Journal:  Front Allergy       Date:  2022-06-16
  3 in total

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