Seven steps to the diagnosis of NSAIDs hypersensitivity: how to apply a new classification in real practice?

Allergy, Asthma & Immunology Research
M L Kowalski, J Makowska

Abstract

Frequent use of non-steroidal anti-inflammatory drugs (NSAIDs) has been paralleled by increasing occurrence of adverse reactions, which vary from mild local skin rashes or gastric irritation to severe, generalized symptoms and even life-threatening anaphylaxis. NSAID-induced hypersensitivity reactions may involve both immunological and non-immunological mechanisms and should be differentiated from type A adverse reactions. Clinical diagnosis and effective management of a hypersensitive patient cannot be achieved without identifying the underlying mechanism. In this review, we discuss the current classification of NSAID-induced adverse reactions and propose a practical diagnostic algorithm that involves 7 steps leading to the determination of the type of NSAID-induced hypersensitivity and allows for proper patient management.

References

Dec 1, 1976·The Journal of Allergy and Clinical Immunology·J R Vane
Mar 1, 1991·Drug Safety : an International Journal of Medical Toxicology and Drug Experience·A J HoitsmaR A Koene
May 1, 1968·Annals of Internal Medicine·M Samter, R F Beers
May 26, 1998·The Journal of Allergy and Clinical Immunology·M MilewskiA Szczeklik
Jan 7, 2000·Allergy and Asthma Proceedings·M L KowalskiM Poniatowska
Jun 15, 2000·The European Respiratory Journal·E NizankowskaA Szczeklik
Jan 11, 2001·Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology·D D StevensonS C Christiansen
Sep 26, 2001·Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology·D D StevensonA Szczeklik
Mar 15, 2003·Journal of the American Academy of Dermatology·Martina M A KozelJan D Bos
Apr 22, 2003·The Journal of Allergy and Clinical Immunology·Martin HimlyChristof Ebner
Oct 22, 2003·Annals of Internal Medicine·Werner J Pichler
Apr 22, 2004·The Journal of Allergy and Clinical Immunology·Lucyna MastalerzAndrew Szczeklik
Jul 3, 2004·BMJ : British Medical Journal·Munir PirmohamedAlasdair M Breckenridge
Nov 4, 2004·Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology·Joaquin QuiralteJosé Conde
Sep 2, 2005·Respirology : Official Journal of the Asian Pacific Society of Respirology·Fumitoshi YoshimineFumitake Gejyo
Feb 20, 2007·Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology·Eric MacyUNKNOWN Aspirin Desensitization Joint Task Force
Sep 25, 2008·Indian Journal of Dermatology, Venereology and Leprology·Raksha M Patel, Y S Marfatia
May 29, 2009·Current Opinion in Allergy and Clinical Immunology·Aurore RozieresJean-Francois Nicolas
Jan 27, 2010·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Kristina E WardTracey L Mersfelder
Dec 16, 2010·Clinical and Experimental Allergy : Journal of the British Society for Allergy and Clinical Immunology·I DoñaG Canto
Jan 29, 2011·Clinical Drug Investigation·Karlo MihovilovicMladen Knotek
May 5, 2012·International Archives of Allergy and Immunology·K RutkowskiP W Ewan
May 11, 2013·Journal of Pharmacology & Pharmacotherapeutics·Kaderthambi Hajamohideen Nooru AmeenSwathi Jami
Sep 5, 2013·Allergy, Asthma & Immunology Research·Se-Min ParkChoon-Sik Park
Apr 11, 2014·Allergy and Asthma Proceedings·Donald D Stevenson, Marek L Kowalski
Jul 6, 2014·Allergy, Asthma & Immunology Research·Yoshihide Kanaoka, Joshua A Boyce
Jul 16, 2014·Immunology and Allergy Clinics of North America·Maria Jose TorresMiguel Blanca

❮ Previous
Next ❯

Citations

Jan 30, 2016·Expert Review of Clinical Pharmacology·Antoinette GreenHope O'Brien
Apr 30, 2016·Allergy, Asthma & Immunology Research·Kathleen M Buchheit, Tanya M Laidlaw
Apr 1, 2016·The Korean Journal of Internal Medicine·Duy Le PhamHae-Sim Park
May 30, 2016·Allergology International : Official Journal of the Japanese Society of Allergology·Mi-Ae KimHae-Sim Park
Nov 3, 2016·Pharmacoepidemiology and Drug Safety·Da Woon SimJae-Hyun Lee
Oct 8, 2016·Immunology and Allergy Clinics of North America·Kristen M Walters, Katharine M Woessner
Sep 23, 2016·Current Opinion in Pulmonary Medicine·Duy Le PhamHae-Sim Park
Jan 14, 2017·Pharmacoepidemiology and Drug Safety·Hyun-Young LeeYoung-Min Ye
Dec 6, 2017·Expert Review of Clinical Immunology·Javier Fernandez, Inmaculada Doña
Nov 2, 2016·The Cochrane Database of Systematic Reviews·Eva Rasmussen-BarrMaria M Wertli
Apr 26, 2018·Pediatric Allergy and Immunology : Official Publication of the European Society of Pediatric Allergy and Immunology·Mona KidonMarina Atanaskovic-Markovic
Nov 2, 2017·Praxis·Amélie Borgeat Kaeser, Camillo Ribi
Sep 9, 2018·Pediatric Allergy and Immunology : Official Publication of the European Society of Pediatric Allergy and Immunology·Ozlem CavkaytarDavide Caimmi
Jan 8, 2019·Journal of Cardiovascular Pharmacology and Therapeutics·Matthew JacksonNeil Swanson
Sep 30, 2019·Topics in Current Chemistry·Shiyang ZhouGangliang Huang
Apr 12, 2017·Spine·Eva Rasmussen-BarrMaria M Wertli
Aug 21, 2018·Clinical and Experimental Allergy : Journal of the British Society for Allergy and Clinical Immunology·Hoang Kim Tu TrinhHae-Sim Park
Oct 21, 2016·Pediatric Allergy and Immunology : Official Publication of the European Society of Pediatric Allergy and Immunology·Mathias CousinDavide Caimmi
Dec 31, 2019·Journal of Immunology Research·Jorge SánchezRicardo Cardona
Jun 28, 2016·Acta Dermatovenerologica Alpina, Pannonica, Et Adriatica·Maja JakičMitja Košnik
Dec 31, 2019·Yonsei Medical Journal·Wan Yin Winnie Yeung, Hae Sim Park
Sep 18, 2020·Giornale Italiano Di Dermatologia E Venereologia : Organo Ufficiale, Società Italiana Di Dermatologia E Sifilografia·Luca StingeniKatharina Hansel
Dec 10, 2020·Allergy, Asthma, and Clinical Immunology : Official Journal of the Canadian Society of Allergy and Clinical Immunology·Iolanda Alen CoutinhoAna Todo Bom
Jan 28, 2021·Journal of Clinical Medicine·Samir K Ballas
Jan 22, 2021·Allergy, Asthma & Immunology Research·Jettanong KlaewsongkramHiroshi Chantaphakul
Nov 13, 2020·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·S TrifilioJ Mehta
May 20, 2021·Asia Pacific Allergy·Zuhui CheongAdrian Kwok Wai Chan
Jul 13, 2021·Frontiers in Genetics·Hoang Kim Tu TrinhHae-Sim Park
Jan 22, 2020·Arthritis Care & Research·Sarah FrenchMary Margaretten
Dec 14, 2018·International Archives of Allergy and Immunology·Erika Yue LeePeter Vadas

❮ Previous
Next ❯

Related Concepts

Related Feeds

Anaphylaxis

Anaphylaxis is a serious allergic reaction that is rapid in onset and may cause death.

Allergy and Asthma

Allergy and asthma are inflammatory disorders that are triggered by the activation of an allergen-specific regulatory t cell. These t cells become activated when allergens are recognized by allergen-presenting cells. Here is the latest research on allergy and asthma.

Related Papers

Immunology and Allergy Clinics of North America
M L Kowalski, Donald D Stevenson
Journal of Investigational Allergology & Clinical Immunology
Nancy OrtegaM J Torres
Current Opinion in Allergy and Clinical Immunology
Natalia Blanca-LópezMaría Gabriela Canto
Clinical and Experimental Allergy : Journal of the British Society for Allergy and Clinical Immunology
Hernández Fernández de Rojas
Tidsskrift for den Norske lægeforening : tidsskrift for praktisk medicin, ny række
Fatemeh Chalabianloo
© 2022 Meta ULC. All rights reserved