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Category: News and Perspectives
News and perspectives on drug allergy concepts, diagnosis, and management
New Sequential Patch Testing for Fixed Drug Eruption (FDE) Diagnosis
Background Fixed drug eruption (FDE) is a cutaneous adverse drug reaction characterized by erythematous plaques or blisters that recur at the same site upon re-exposure to the causative drug. It can leave residual pigmentation and, in severe cases, may present as generalized bullous fixed drug reaction (GBFDE). Objective The study aimed to evaluate the sensitivity of a standardized allergy workup for diagnosing the cause of FDE, with an emphasis on in situ repeated open application tests (ROATs). Methods A retrospective multicenter study analyzed the allergy workup practices for FDE diagnosis…
Read MoreThe Hidden Connection: Chronic Urticaria, Autoimmune Disorders & Hormonal Imbalance
Introduction to Chronic Urticaria Chronic urticaria, often referred to as hives, is a condition marked by the recurrent appearance of itchy welts on the skin. These welts, or hives, can vary in size and may appear anywhere on the body. The condition becomes chronic when these symptoms persist for six weeks or longer, distinguishing it from acute urticaria, which typically resolves within a shorter period. While the exact cause of chronic urticaria remains elusive in many cases, it is generally understood to be a complex interplay of factors. Symptoms of…
Read MoreUnderstanding the Evolving Landscape: New Nomenclature for Allergic Diseases and Hypersensitivity Reactions
Recent advances in immunology have deepened our understanding of allergic diseases and hypersensitivity reactions. Traditionally classified using the Gell-Coombs system (Types I-IV), the increasing complexity of these conditions has led to a proposed new nomenclature, especially for Type IV hypersensitivity. This blog provides an overview of the new classification and its clinical implications. Overview of Traditional Hypersensitivity Classification The Gell-Coombs classification includes: Here are the novel classifications of hypersensitivity reactions according to the new European Academy of Allergy and Clinical Immunology Position Paper published in Allergy. 2023 Nov;78(11):2851-2874. and…
Read MoreAI Detectives: How Machine Learning Could Revolutionize Drug Allergy Diagnosis
Introduction Drug allergies can have severe consequences, necessitating accurate diagnosis and management. A research group focused on drug allergies has made significant progress in this area. They developed and evaluated two drug allergy prediction models, publishing the data in the Journal of Allergy and Clinical Immunology. The Models The study utilized a machine learning approach, specifically a random forest (RF) model and a logistic regression (LR) model, to identify culprit drugs based on drug-specific IFN-γ-releasing cells and clinical parameters in non-immediate drug hypersensitivity. The RF model achieved an average AUROC…
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