Hypersensitivity Reactions to Cancer Chemotherapy: Practical Recommendations of ARADyAL for Diagnosis and Desensitization

Rapid drug desensitization has enabled first-line therapies in patients with drug hypersensitivity reactions to chemotherapeutic drugs including monoclonal antibodies. Desensitization is a safe and highly effective procedure, not only for IgE-mediated reactions, but also for those mediated by non-Ig...

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Detalles Bibliográficos
Autores: Vega, A, Jimenez-Rodriguez, TW, Barranco, R, Bartra, J, Dieguez, MC, Dona, I, Fernandez-Rivas, M, Gandolfo-Cano, M, Gastaminza-Lasarte, G, Gonzalez-Mancebo, E, Caballer, D, Sanchez-Morillas, L, Torres, MJ, Berges-Gimeno, MP, Munoz-Cano, R
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2021
País:España
Institución:Instituto de Investigación Biomédica y Sanitaria de Alicante (ISABIAL)
Repositorio:r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante
OAI Identifier:oai:isabial.fundanetsuite.com:p7493
Acceso en línea:https://isabial.portalinvestigacion.com/publicaciones7493
Access Level:acceso abierto
Palabra clave:Drug allergy
Drug hypersensitivity
Desensitization
Chemotherapy
Drug challenge
Monoclonal antibodies
Descripción
Sumario:Rapid drug desensitization has enabled first-line therapies in patients with drug hypersensitivity reactions to chemotherapeutic drugs including monoclonal antibodies. Desensitization is a safe and highly effective procedure, not only for IgE-mediated reactions, but also for those mediated by non-IgE mechanisms. The likelihood of breakthrough reactions during desensitization is low, and most are mild; in fact, moderate-to-severe reactions are infrequent. In this document, 16 allergy departments belonging to the Spanish research network ARADyAL present a review of the available scientific evidence and provide general guidelines for the diagnosis and management of drug hypersensitivity reactions to chemotherapeutic drugs and monoclonal antibodies. Emphasis is placed on the desensitization procedure.