Practical Issues in the Management of Hypersensitivity Reactions: Sulfonamides
@article{Tilles2001PracticalII, title={Practical Issues in the Management of Hypersensitivity Reactions: Sulfonamides}, author={Stephen A. Tilles}, journal={Southern Medical Journal}, year={2001}, volume={94}, pages={817-824} }
Approximately 3% of the general population and 60% of patients with human immunodeficiency virus (HIV) infection have adverse reactions when treated with sulfonamide antimicrobials. The most common clinical manifestations of sulfonamide hypersensitivity are fever and a maculopapular rash 7 to 14 days after initiating therapy, though a variety of more severe manifestations may occur. The sulfonamide chemical moiety is present in many medications that are not antimicrobials, and fortunately…
80 Citations
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References
SHOWING 1-10 OF 34 REFERENCES
Management of drug allergy in patients with acquired immunodeficiency syndrome.
- MedicineThe Journal of allergy and clinical immunology
- 1987
Sulfonamide-induced reactions in desensitized patients with AIDS--the role of covalent protein haptenation by sulfamethoxazole.
- Medicine, BiologyThe Journal of allergy and clinical immunology
- 1998
Allergic reactions to drugs and biologic agents.
- Medicine, BiologyJAMA
- 1987
In summary, the term adverse drug reaction is used to designate any type of undesirable and unintended response to a drug and can be broadly classified on the basis of either the presence or absence…
Rapid oral desensitization for sulfonamides in patients with the acquired immunodeficiency syndrome.
- MedicineAnnals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology
- 1995
Evaluating the safety and efficacy of two oral desensitization procedures for sulfonamides in patients with the acquired immunodeficiency syndrome found that premedications with oral antihistamines and corticosteroids may be needed to control and prevent early occurrences of rash or pruritus during desensitism.
Clinical and laboratory markers of hypersensitivity to trimethoprim-sulfamethoxazole in patients with Pneumocystis carinii pneumonia and AIDS.
- Medicine, BiologyThe Journal of infectious diseases
- 1993
As the frequency of hypersensitivity declines with disease progression, T lymphocytes could be effector cells in these reactions or their sensitivity to TMP-SMZ may decline with HIV disease progression.
Allergic drug reactions. How to minimize the risks.
- Medicine, BiologyPostgraduate medicine
- 1995
Improved understanding of allergic drug reactions requires the following: better pharmacoepidemiologic studies, improved in vitro and in vivo methods of studying the immune responses involved, and expanded comparisons between the pharmacokinetics and pharmacodynamic effects of drugs and their metabolites.
The outcome of Stevens-Johnson syndrome treated with corticosteroids.
- MedicineAllergy proceedings : the official journal of regional and state allergy societies
- 1995
In the experience, early management of SJS with high dose corticosteroids has been very effective and associated with a full recovery.
Detection of human IgE to sulfamethoxazole by skin testing with sulfamethoxazoyl-poly-L-tyrosine.
- Medicine, BiologyThe Journal of allergy and clinical immunology
- 1991
Desensitization to sulphasalazine in patients with arthritis.
- Medicine, Computer ScienceClinical and experimental rheumatology
- 1993
Desensitization to sulphasalazine was successful in 16 of 21 (76%) arthritic patients who previously had skin rash from sulphasAlazine or sulphonamide or sulph onamide.
Trimethoprim/sulfamethoxazole incremental dose regimen in human immunodeficiency virus-infected persons.
- MedicineAnnals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology
- 1997