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Erschienen in: Current Allergy and Asthma Reports 7/2018

01.07.2018 | Anaphylaxis and Drug Allergy (DA Khan and M Castells, Section Editors)

Sulfonamide Drug Allergy

verfasst von: Joshua M. Dorn, Mollie Alpern, Caitlin McNulty, Gerald W. Volcheck

Erschienen in: Current Allergy and Asthma Reports | Ausgabe 7/2018

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Abstract

Purpose of Review

We sought to review past and current literature on sulfonamide drug allergy and distill it in a practical manner to assist the clinician, specifically focusing on cross-reactivity and desensitization.

Recent Findings

There do not appear to be consistent genetic markers to reliably predict features of or the presence hypersensitivity reactions. Recent evidence continues to alleviate early concerns cross-reactivity between sulfonamide antibiotics and non-antibiotics.

Summary

Sulfonamide drug allergy is frequently encountered by the practicing clinician. For sulfonamide antibiotics, delayed rash is the most common clinical manifestation. There is no current evidence to support avoidance of all non-antibiotic sulfonamides in those with a reported allergy to sulfonamide antibiotics, although certain scenarios require caution. Available evidence supports the cautious reintroduction of sulfonamide antibiotics via desensitization, which is usually well tolerated and should be considered in those with strong indications for trimethoprim-sulfamethoxazole and a reported sulfonamide allergy.
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Metadaten
Titel
Sulfonamide Drug Allergy
verfasst von
Joshua M. Dorn
Mollie Alpern
Caitlin McNulty
Gerald W. Volcheck
Publikationsdatum
01.07.2018
Verlag
Springer US
Erschienen in
Current Allergy and Asthma Reports / Ausgabe 7/2018
Print ISSN: 1529-7322
Elektronische ISSN: 1534-6315
DOI
https://doi.org/10.1007/s11882-018-0791-9

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