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Immediate hypersensitivity reactions to ibuprofen and other arylpropionic acid derivatives

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Immediate hypersensitivity reactions to ibuprofen and other arylpropionic acid derivatives

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dc.contributor.author Blanca-López, Natalia es_ES
dc.contributor.author Pérez-Alzate, D. es_ES
dc.contributor.author Andreu Ros, María Inmaculada es_ES
dc.contributor.author Doña, Inmaculada es_ES
dc.contributor.author Agundez, Javier A. es_ES
dc.contributor.author García-Martín, Elena es_ES
dc.contributor.author Salas, M. es_ES
dc.contributor.author Miranda Alonso, Miguel Ángel es_ES
dc.contributor.author Torres, M. J. es_ES
dc.contributor.author Cornejo-Garcia, J.A. es_ES
dc.contributor.author Blanca, M. es_ES
dc.contributor.author Canto, G. es_ES
dc.date.accessioned 2017-10-03T06:27:15Z
dc.date.available 2017-10-03T06:27:15Z
dc.date.issued 2016-07
dc.identifier.issn 0105-4538
dc.identifier.uri http://hdl.handle.net/10251/88504
dc.description.abstract [EN] Background: Although ibuprofen and other arylpropionic acid derivatives (APs) are the most common medicines involved in hypersensitivity drug reactions (HDRs) to NSAIDs, no patient series studies have been performed regarding immediate selective reactions (SRs) to these drugs. Objective: To characterize patients with immediate selective HDRs to ibuprofen and other APs through clinical history and challenge. Methods: Subjects who developed an HDR to APs less than 1 h after drug intake were included. Tolerance to aspirin was assessed and challenge was performed with ibuprofen in all cases, and additionally with the culprit drug (if different) in those patients that tolerated ibuprofen. Serum tryptase levels and tryptase immunohistochemical staining in skin biopsies were also assessed in some patients with a positive DPT to ibuprofen. Results: From a total of 245 patients with a confirmed history of HDRs to APs, 17% were classified as selective immediate hypersensitivity reactors by both clinical history and challenge. A selective response to naproxen and dexketoprofen with tolerance to ibuprofen was found in 16 of 20 cases. Significant differences in serum tryptase levels were observed between 2 and 24 h in the 11 cases that were studied further. Conclusions: Within the group of patients with HDRs to NSAIDs, APs can induce immediate SRs. Within this group, selective responses to a single drug or responders to several APs may exist, suggesting potential immunological crossreactivit es_ES
dc.description.sponsorship We thank James Perkins for manuscript revision. JA Cornejo-Garciia received funding from the Miguel Servet Program (Ref CP14/00034 (Carlos III National Health Institute, Spanish Ministry of Economy and Competitiveness)). This study was supported by grants from the Carlos III National Health Institute RD12/0013 (RIRAAF Network), FIS PI12/02247 and FIS PI13/02598. It was also supported by the Andalusian Public Health Service (PI-0279-2012 and PI-0463-2013). en_EN
dc.language Inglés es_ES
dc.publisher Wiley es_ES
dc.relation.ispartof Allergy es_ES
dc.rights Reserva de todos los derechos es_ES
dc.subject Arylpropionic acid derivates es_ES
dc.subject Ibuprofen es_ES
dc.subject Immediate reactions es_ES
dc.subject Selective reactions es_ES
dc.subject.classification QUIMICA ORGANICA es_ES
dc.title Immediate hypersensitivity reactions to ibuprofen and other arylpropionic acid derivatives es_ES
dc.type Artículo es_ES
dc.identifier.doi 10.1111/all.12855
dc.relation.projectID info:eu-repo/grantAgreement/MINECO//CP14%2F00034/ES/CP14%2F00034/ es_ES
dc.relation.projectID info:eu-repo/grantAgreement/Junta de Andalucía//PI-0279-2012/ES/Reacciones de Hipersensibilidad A Antiinflamatorios No Esteroideos: Identificación de Mecanismos Genéticos Implicados y Caracterización de Redes Funcionales Con la Biología de Sistemas. Aplicabilidad de Un Modelo In Vitro/ es_ES
dc.relation.projectID info:eu-repo/grantAgreement/MINECO//RD12%2F0013%2F0009/ES/REACCIONES ADVERSAS A ALÉRGENOS Y FÁRMACOS/ es_ES
dc.relation.projectID info:eu-repo/grantAgreement/MINECO//PI12%2F02247/ES/Estudio de las bases funcionales y genéticas de las reacciones adversas a anti-inflamatorios no esteroideos: urticaria aguda inducida por intolerancia cruzada./ / es_ES
dc.relation.projectID info:eu-repo/grantAgreement/Junta de Andalucía//PI-0463-2013/ES/Definición de Fenotipos Intermedios en las Reacciones de Hipersensibilidad A Aines y Su Relación Con Genes Implicados en la Respuesta Atópica/ es_ES
dc.relation.projectID info:eu-repo/grantAgreement/MINECO//PI13%2F02598/ES/INTERACCIÓN ENTRE ATOPIA E INTOLERANCIA CRUZADA A ANTI-INFLAMATORIOS NO ESTEROIDEOS: ESTUDIOS GENÉTICOS Y FUNCIONALES./ es_ES
dc.rights.accessRights Cerrado es_ES
dc.contributor.affiliation Universitat Politècnica de València. Instituto Universitario Mixto de Tecnología Química - Institut Universitari Mixt de Tecnologia Química es_ES
dc.contributor.affiliation Universitat Politècnica de València. Departamento de Química - Departament de Química es_ES
dc.description.bibliographicCitation Blanca-López, N.; Pérez-Alzate, D.; Andreu Ros, MI.; Doña, I.; Agundez, JA.; García-Martín, E.; Salas, M.... (2016). Immediate hypersensitivity reactions to ibuprofen and other arylpropionic acid derivatives. Allergy. 71(7):1048-1056. https://doi.org/10.1111/all.12855 es_ES
dc.description.accrualMethod S es_ES
dc.relation.publisherversion http://doi.org/10.1111/all.12855 es_ES
dc.description.upvformatpinicio 1048 es_ES
dc.description.upvformatpfin 1056 es_ES
dc.type.version info:eu-repo/semantics/publishedVersion es_ES
dc.description.volume 71 es_ES
dc.description.issue 7 es_ES
dc.relation.senia 330959 es_ES
dc.identifier.eissn 1398-9995
dc.contributor.funder Ministerio de Economía y Competitividad es_ES
dc.contributor.funder Junta de Andalucía es_ES
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