Case of Polyethylene Glycol Allergy Confirmed with Basophil Activation Test and Oral Challenge Successfully Immunized with SARS-CoV-2 Vaccine.

IF 1.2 4区 医学 Q4 ALLERGY
Maria Pasali, Styliani Taka, Caterina Chliva, Alexandros Katoulis, Michael Makris
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引用次数: 1

Abstract

Polyethylene glycols (PEG) or macrogols are polymers of ethylene oxide widely used in drugs either as active substances or, more commonly, as excipients. We report a Caucasian 32-year-old woman with referred anaphylaxis almost instantly after oral intake of a macrogol-containing laxative. Despite an anaphylactic reaction, the patient showed negative results for both the skin test and specific IgE to monomer, while the basophil activation test and oral challenge were positive. The patient was later successfully vaccinated with a polysorbate 80-containing SARS-CoV-2 vaccine following an additional work-up. As a result, the inactive form of PEG cannot be fully diagnosed, and it is considered a "hidden" allergen. Allergens like polysorbates need special consideration due to their possible cross-reactivity by their specific derivatives.

经嗜碱性粒细胞激活试验和口服激发试验证实的聚乙二醇过敏病例成功接种严重急性呼吸系统综合征冠状病毒2型疫苗。
聚乙二醇(PEG)或聚乙二醇是环氧乙烷的聚合物,广泛用作药物中的活性物质或更常见的赋形剂。我们报告了一名32岁的高加索女性,在口服含有聚乙二醇的泻药后几乎立即出现过敏反应。尽管有过敏反应,但患者的皮肤测试和单体特异性IgE均呈阴性,而嗜碱性粒细胞活化测试和口服激发均呈阳性。经过额外的检查,该患者后来成功接种了含有聚山梨醇酯80的严重急性呼吸系统综合征冠状病毒2型疫苗。因此,PEG的非活性形式无法完全诊断,它被认为是一种“隐藏”的过敏原。过敏原,如聚山梨醇酯,由于其特定衍生物可能具有交叉反应性,需要特别考虑。
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来源期刊
CiteScore
2.60
自引率
6.70%
发文量
64
审稿时长
>12 weeks
期刊介绍: The Iranian Journal of Allergy, Asthma and Immunology (IJAAI), an international peer-reviewed scientific and research journal, seeks to publish original papers, selected review articles, case-based reviews, and other articles of special interest related to the fields of asthma, allergy and immunology. The journal is an official publication of the Iranian Society of Asthma and Allergy (ISAA), which is supported by the Immunology, Asthma and Allergy Research Institute (IAARI) and published by Tehran University of Medical Sciences (TUMS). The journal seeks to provide its readers with the highest quality materials published through a process of careful peer reviews and editorial comments. All papers are published in English.
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