Drug Allergy

11/18/99


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Table of Contents

Drug Allergy

Adverse Reactions to Drugs

Adverse Drug Reactions

Types of Allergic Reactions

Types of Allergic Reactions

Symptoms of allergic drug reactions

Anaphylaxis versus Anaphylactoid Reactions

Multivalency

Multivalency

Haptenization

Conversion into reactive intermediates

Factors that Increase the Risk of Allergic Reactions

Evaluation of Drug Allergy

Evaluation of Drug Allergy

RAST Testing

Disadvantages of RAST testing

Evaluation of drug allergy

Drug Desensitization

Drug Desensitization

Desensitization

Desensitization

Desensitization

I Kiss you!!

Penicillins

Major and minor determinants

Minor Determinants

Signs and symptoms

Signs and Symptoms

Skin testing

Sogn et al

Sogn et al

Skin testing

Skin Testing

Cephalosporins

Cephalosporins

Skin testing with Cephalosporins

Summary of Studies of Cephalosporin to Patients with Histories of Penicillin Allergy and Penicillin Skin Test Evaluations

PPT Slide

Sulfa Drugs

Sulfa Drugs

Sulfa Drugs and HIV

Hennessy et al

Hennessy et al

Signs and Symptoms

History of Rash and Rechallenge

Sulfonamide Hypersensitivity Reaction

Sulfonamide Hypersensitivity Reaction

Stevens Johnson syndrome and TEN with sulfa drugs

Mechanism

Sulfa Drug Metabolism

Sulfa drug Metabolism

Slow acetylation

Slow Acetylation in AIDS patients

Slow acetylation in AIDS patients

Slow acetylation in AIDS patients

Skin Testing

Desensitization

Desensitization

Mahir at Burke Street Pub

NSAIDS

NSAID Intolerance (NI)

Mechanisms

Mechanisms

Mechanisms

Mechanisms

COX Inhibition

COX Inhibition

Chronic inflammation of the airways

Delayed reactions to NSAIDS

Signs and Symptoms

Testing

Oral ASA Challenge

Oral ASA Challenge

Prevention and Treatment

Prevention and Treatment

Prevention and Treatment

COX-2 Inhibitors

Desensitization

Desensitization

Stevenson et al

Stevenson et al

Stevenson et al

Conclusion

Conclusion

Conclusion

Conclusion

Thanks

Author: clint01