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Showing papers on "Hypersensitivity reaction published in 1978"


Journal ArticleDOI
TL;DR: A young female with inflammatory bowel disease who developed severe hepatotoxicity as part of a systemic hypersensitivity reaction to sulfasalazine is reported, indicating the serious nature of the illness.

56 citations


Journal Article
TL;DR: The results indicate that cockroach hypersensitivity is highly prevalent and thatcockroach antigen is an independent agent from house dust as a cause of immediate hypersensitivity reaction.
Abstract: Allergy skin tests with cockroach antigen along with various common inhalant allergens were performed on 222 atopic and on 63 non-atopic subjects. The most prevalent allergen producing a positive skin test was house dust antigen with a positive response of 72%, 78% and 57% in atopic adults, atopic children and non-atopic children, respectively. The next prevalent positive skin test was to cockroach antigen with 50%, 60% and 27%, respectively, of the three groups tested. The differences between positive cockroach hypersensitivity and house dust hypersensitivity in all three groups tested were statistically significant. Next in order of prevalence of positive skin test to common inhalants were western weeds, ragweeds and cats. Incidence of cockroach hypersensitivity was 58% among asthmatic adults and 69% among asthmatic children. The results indicate that cockroach hypersensitivity is highly prevalent and that cockroach antigen is an independent agent from house dust as a cause of immediate hypersensitivity reaction.

49 citations


Journal ArticleDOI
TL;DR: The effect of a local delayed hypersensitivity reaction (allograft rejection) on small intestinal architecture has been examined by using scanning electron microscopy of the mucosal surface.
Abstract: The effect of a local delayed hypersensitivity reaction (allograft rejection) on small intestinal architecture has been examined by using scanning electron microscopy of the mucosal surface. In isogra

49 citations


Journal ArticleDOI
TL;DR: The clinical and biochemical features support the fact that this patient with Azulfidine-related hepatotoxicity was an example of an acquired hypersensitivity reaction toAzulfidine.
Abstract: A patient with Azulfidine-related hepatotoxicity in which prompt recurrence of symptoms, fever, skin rash, and laboratory evidence of hepatocellular injury occurred upon readministration of Azulfidine is reported. The clinical and biochemical features support the fact that this was an example of an acquired hypersensitivity reaction to Azulfidine.

28 citations


Journal ArticleDOI
TL;DR: This review summarizes the current evidence that both the induction and amelioration of disease in hepatosplenic schistosomiasis are immunologically mediated.

23 citations


Journal ArticleDOI
TL;DR: A severe anaphylactic reaction to suxamethonium chloride is reported and previous sensitization and immunological studies indicated that this was a classical type I hypersensitivity reaction.
Abstract: A severe anaphylactic reaction to suxamethonium chloride is reported. The patient had received suxamethonium uneventfully on four previous occasions. Previous sensitization and immunological studies indicated that this was a classical type I hypersensitivity reaction.

19 citations


Journal ArticleDOI
TL;DR: The clinical course in this patient supports the concept of an indirect hypersensitivity reaction to sulfamethoxazole and shows a mixed inflammatory infiltrate in the portal triads and prominent bile stasis.
Abstract: Trimethoprim-sulfamethoxazole was given to a 16-year-old boy as prophylaxis for a urinary tract infection. He developed severe cholestatic hepatitis 41 days after administration of the drug. A liver biopsy specimen showed a mixed inflammatory infiltrate in the portal triads and prominent bile stasis. The clinical course in this patient supports the concept of an indirect hypersensitivity reaction to sulfamethoxazole.

16 citations



Journal ArticleDOI
TL;DR: A 17-year-old boy with partial hypoxanthine-guanine phosphoribosyl transferase deficiency developed a hypersensitivity reaction to allopurinol, manifested by the development of bizarre, atypical seizures.
Abstract: A 17-year-old boy with partial hypoxanthine-guanine phosphoribosyl transferase deficiency developed a hypersensitivity reaction to allopurinol. The reaction was manifested by the development of bizarre, atypical seizures. The patient had been neurologically normal prior to the reaction. Seizures disappeared following discontinuation of allopurinol therapy. Allopurinol apparently can cause a diffuse vasculitis involving cerebral vessels after many years of therapy, resulting in atypical seizures. ( Arch Intern Med 138:1743-1744, 1978)

11 citations



Journal Article
TL;DR: A 70-year-old patient presented with a maculo-papular, erythemato-squamous eruption which developed into erythroderma with fever, edema, polyadenopathy, marked eosinophilia, cholostatic jaudice, and aggravation of preexisting renal insufficiency, and without steroid treatment, the patient spontaneously recovered.
Abstract: Major hypersensitivity reactions to allopurinol are rare. They are characterized by systemic vasculitis associated with a grave clinical picture. 20 days after beginning treatment with allopurinol, a 70-year-old patient presented with a maculo-papular, erythemato-squamous eruption which developed into erythroderma with fever, edema, polyadenopathy, marked eosinophilia, cholostatic jaudice, and aggravation of preexisting renal insufficiency. Skin biopsy showed vasculitis with fibrinoid necrosis and a chiefly lymphocytic infiltrate suggestive of a malignant lymphoma-type process. As soon as allopurinol was discontinued, and without steroid treatment, the patient spontaneously recovered. A lymphocyte transformation test was positive for this drug. The poorly know mechanism is immunological, with formation of immune complex deposits on the endothelial cells and at the dermo-epidermal junction, fibrinoid necrosis of small vessels and cellular reaction which is lymphocytic. It is not a toxic reaction related to the dose administered, though most authors have emphasized that preexisting renal insufficiency could favor hypersensitivity to allopurinol.

Journal ArticleDOI
TL;DR: A 66-year-old white man developed bilateral peripheral corneal infiltrates on two separate occasions after intravenous injections of a radiopaque dye containing iodide, believed to be the first case of drug-induced ocular hypersensitivity reaction associated with the administration of these dyes and manifesting with peripheral cornea infiltrates.

Journal ArticleDOI
20 Mar 1978-JAMA
TL;DR: It is possible that a burn patient would be more susceptible to the low concentrations of povidone-iodine present in whirlpool water, resulting in a transient febrile reaction.
Abstract: To the Editor— I was surprised by the letter from Greenberg et al (238:1912, 1977) describing a patient experiencing a febrile response to whirlpool bath treatments Unable to document bacteremia, they suggested the possibility of a toxin or perhaps a transient bacteremia that was missed They apparently overlooked the povidone-iodine in the whirlpool water Harvey 1 describes a hypersensitivity reaction to moderate amounts of iodine applied to the skin Symptoms include fever, severe constitutional reaction, and generalized skin eruption It is possible that a burn patient would be more susceptible to the low concentrations of povidone-iodine present in whirlpool water, resulting in a transient febrile reaction

Journal Article
TL;DR: A hypersensitivity reaction to orally administered phenoxymethyl penicillin is reported, with manifestations of the reaction included fever, arthralgia, urticaria and an irregular pulse.
Abstract: A hypersensitivity reaction to orally administered phenoxymethyl penicillin is reported. The manifestations of the reaction included fever, arthralgia, urticaria and an irregular pulse. Serial ECG showed second-degree atrioventricular block with junctional escape beats, an atypical Wenckebach pattern and, finally, first-degree atrioventricular block with gradually decreasing PR intervals. A normal tracing was recorded on the sixth day despite the persistence of the rash and joint pains.

Journal Article
TL;DR: In a sample of patients with pseudotumors and benign and malignant tumors of the orofacial region, the cell reaction to autologous tumor tissue applied at indicated time intervals on a small skin lesion was investigated and the prognostically favorable picture of a cellular-type hypersensitivity reaction with massive participation of lymphoid cells and basophil granulocytes was only found in some basaliomas and leukoplakias.
Abstract: In a sample of patients with pseudotumors and benign and malignant tumors of the orofacial region there has repeatedly been investigated, after radical surgery, the cell reaction to autologous tumor tissue applied at indicated time intervals on a small skin lesion. The prognostically favorable picture of a cellular-type hypersensitivity reaction with massive participation of lymphoid cells and basophil granulocytes was only found in some basaliomas and leukoplakias. Conversely, spinocellular carcinomas are, irrespective of localization, characterized by areactivity.

Journal Article
TL;DR: A new class of compounds, the 2-cyanaziridines, has immune-modulating properties and was proved by the influence on the delayed type hypersensitivity reaction, the increase of the lymphocyte transformation by T-cell-specific mitogens ConA and PHA, the increased of phagocytosis of macrophages, the increasing of resistance against bacterial, fungal and virus infections.
Abstract: A new class of compounds, the 2-cyanaziridines, has immune-modulating properties. This immune-modulation was proved by the influence on the delayed type hypersensitivity reaction, the increase of the lymphocyte transformation by T-cell-specific mitogens ConA and PHA, the increase of phagocytosis of macrophages, the increase of resistance against bacterial, fungal and virus infections and by the influence on various transplantation tumors in mice and rats.

Journal Article
TL;DR: Two women (aged 72 and 78 years) developed hepatitis due to clometacine, in which the initial histological lesions had the appearance of aggressive chronic hepatitis, and there was progression to cirrhosis despite the interruption of treatment.
Abstract: Two women (aged 72 and 78 years) developed hepatitis due to clometacine. The main laboratory abnormalities were raised transaminases and blood eosinophil count. In one of these cases, in which the initial histological lesions had the appearance of aggressive chronic hepatitis, there was progression to cirrhosis despite the interruption of treatment. The mechanism of this hepatotoxicity is probably a hypersensitivity reaction.