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Natural evolution of skin-test sensitivity in patients with IgE-mediated hypersensitivity to cephalosporins

机译:IgE介导的对头孢菌素超敏反应患者皮肤测试敏感性的自然演变

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摘要

There are studies demonstrating that skin-test sensitivity to penicillins can decrease over time and that allergic patients may lose sensitivity if the responsible compounds are avoided. With regard to subjects with IgE-mediated hypersensitivity to cephalosporins, however, such studies are lacking. We evaluated prospectively in a 5-year follow-up 72 cephalosporin-allergic patients. After the first evaluation, patients were classified into two groups according to their patterns of allergologic-test positivity: to both penicillins and cephalosporins (group A), or only to cephalosporins (group B). Skin tests and serum-specific IgE assays were repeated 1 year later and, in case of persistent positivity, 3 and 5 years after the first allergologic examination. Seven (43.7%) of the 16 subjects of group A and 38 (67.8%) of the 56 patients of group B became negative; one was lost to follow-up. Patients of group B became negative sooner and more frequently than group A subjects.
机译:有研究表明,皮肤试验对青霉素的敏感性会随着时间的流逝而降低,如果避免使用负责任的化合物,过敏性患者可能会失去敏感性。然而,关于IgE介导的对头孢菌素超敏反应的受试者,尚缺乏此类研究。我们在5年的随访中对72例头孢菌素过敏患者进行了前瞻性评估。第一次评估后,根据变应性试验阳性的方式将患者分为两组:青霉素和头孢菌素(A组),或仅头孢菌素(B组)。皮肤测试和血清特异性IgE测定在1年后重复进行,如果持续呈阳性,则在第一次变应性检查后3和5年重复进行。 A组16名受试者中有7名(43.7%)和B组56名患者中的38名(67.8%)变为阴性;一名失去了后续行动。 B组患者比A组受试者更快,更阴性。

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