T Azenha Rama, R Moço Coutinho, D Mota, A Moreira, J Cernadas
{"title":"Hypersensitivity to the Moderna COVID-19 Vaccine Caused by Tromethamine: PEG Is Not Always the Culprit Excipient.","authors":"T Azenha Rama, R Moço Coutinho, D Mota, A Moreira, J Cernadas","doi":"10.18176/jiaci.0773","DOIUrl":"https://doi.org/10.18176/jiaci.0773","url":null,"abstract":"Serviço de Imunoalergologia, Centro Hospitalar Universitário de São João, Porto, Portugal Serviço de Imunologia Básica e Clínica, Departamento de Patologia, Faculdade de Medicina da Universidade do Porto, Porto, Portugal EPIUnit, Institute of Public Health, University of Porto, Portugal & Laboratory for Integrative and Translational Research in Population Health (ITR), Porto, Portugal Unidade de Imunoalergologia, Hospital Lusíadas, Porto","PeriodicalId":520676,"journal":{"name":"Journal of investigational allergology & clinical immunology","volume":" ","pages":"414-415"},"PeriodicalIF":7.2,"publicationDate":"2022-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39738417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M P Berges Gimeno, L Bernal Rubio, E Roldán, C G Rita
{"title":"Positive Basophil Activation Test Result in a Patient With Anaphylaxis to Cotrimoxazole.","authors":"M P Berges Gimeno, L Bernal Rubio, E Roldán, C G Rita","doi":"10.18176/jiaci.0778","DOIUrl":"https://doi.org/10.18176/jiaci.0778","url":null,"abstract":"","PeriodicalId":520676,"journal":{"name":"Journal of investigational allergology & clinical immunology","volume":" ","pages":"410-412"},"PeriodicalIF":7.2,"publicationDate":"2022-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39822131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
F Vílchez-Sánchez, J M Busto Leis, E Sendagorta, E Ramírez, A Fiandor, T Bellón, T De Soto Álvarez, H Sánchez Ocando, R Heredia Revuelto, R Cabañas
{"title":"Allopurinol-Induced DRESS and Neosensitization to Thalidomide: Complex Management and Diagnosis in a Patient With Multiple Myeloma.","authors":"F Vílchez-Sánchez, J M Busto Leis, E Sendagorta, E Ramírez, A Fiandor, T Bellón, T De Soto Álvarez, H Sánchez Ocando, R Heredia Revuelto, R Cabañas","doi":"10.18176/jiaci.0776","DOIUrl":"https://doi.org/10.18176/jiaci.0776","url":null,"abstract":"1Institute for Health Research (IdiPAZ), Madrid, Spain. 2Allergy Department, La Paz University Hospital, Madrid, Spain. 3Dermatology Department, La Paz University Hospital, Madrid, Spain. 4PIELenRed Consortium. 5Pharmacology Department La Paz University Hospital, Madrid, Spain. 6Drug Hypersensitivity Laboratory, IdiPAZ, Madrid, Spain. 7Hematology Department, La Paz University Hospital, Madrid, Spain. 8Centro de Investigación en Red de Enfermedades Raras (CIBERER, U754).","PeriodicalId":520676,"journal":{"name":"Journal of investigational allergology & clinical immunology","volume":" ","pages":"406-407"},"PeriodicalIF":7.2,"publicationDate":"2022-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39822133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
B Ruiz-León, M Martínez San Ireneo, F de la Roca, L Arenas, T Alfaya Arias, C Cordobés, L Marqués, A Vega, C Moreno-Aguilar
{"title":"The Lights and the Shadows of Controlled Sting Challenge With Hymenoptera.","authors":"B Ruiz-León, M Martínez San Ireneo, F de la Roca, L Arenas, T Alfaya Arias, C Cordobés, L Marqués, A Vega, C Moreno-Aguilar","doi":"10.18176/jiaci.0838","DOIUrl":"https://doi.org/10.18176/jiaci.0838","url":null,"abstract":"<p><p>Hymenoptera venom immunotherapy (VIT) is effective for protecting individuals with systemic allergic reactions caused by Hymenoptera stings. The need for a tool that shows the degree of protection afforded by VIT and the lack of useful biomarkers have made the sting challenge test (SCT) the gold standard for this disorder, although its use has both lights and shadows. SCT with Hymenoptera involves causing a real sting in a patient diagnosed with allergy to the venom of the stinging insect and who is undergoing treatment with specific immunotherapy. In Spain, SCT is included in the list of services offered by some hospitals and forms part of their daily clinical practice. This review aims to analyze the strengths and weaknesses of this test and to describe the standardized procedure and necessary resources, based on the experience of a group of Spanish experts and a review of the literature.</p>","PeriodicalId":520676,"journal":{"name":"Journal of investigational allergology & clinical immunology","volume":" ","pages":"357-366"},"PeriodicalIF":7.2,"publicationDate":"2022-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40239556","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J F Martins, I Alen Coutinho, M Castro, J Carvalho, C Faria, E Sousa, P Martins
{"title":"Remifentanil-Induced Symmetric Drug-Related Intertriginous and Flexural Exanthema: A Diagnostic Challenge in an Intensive Care Patient.","authors":"J F Martins, I Alen Coutinho, M Castro, J Carvalho, C Faria, E Sousa, P Martins","doi":"10.18176/jiaci.0764","DOIUrl":"https://doi.org/10.18176/jiaci.0764","url":null,"abstract":"Intensive Medicine Departement, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal Allergy and Clinical Immunology Departement, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal Anesthesiology Departement, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal Pathological Anatomy Departement, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal Faculty of Medicine, University of Coimbra, Coimbra, Portugal *Both authors contributed equally to this work","PeriodicalId":520676,"journal":{"name":"Journal of investigational allergology & clinical immunology","volume":" ","pages":"399-401"},"PeriodicalIF":7.2,"publicationDate":"2022-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39625891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
T Alfaya Arias, F Feo Brito, M L Somoza Álvarez, M Amo-Salas, J A Lucas, J Gutiérrez Mañero, J M Urra Ardanaz
{"title":"Allergenicity of Grass Pollen From Polluted and Nonpolluted Areas Measured Using the Skin Prick Test and Basophil Activation Test.","authors":"T Alfaya Arias, F Feo Brito, M L Somoza Álvarez, M Amo-Salas, J A Lucas, J Gutiérrez Mañero, J M Urra Ardanaz","doi":"10.18176/jiaci.0775","DOIUrl":"https://doi.org/10.18176/jiaci.0775","url":null,"abstract":"1Allergy Department. Hospital General Universitario de Ciudad Real, Spain 2Allergy Department. Hospital Universitario Fundación Alcorcón, Madrid, Spain 3Faculty of Medicine. Universidad de Castilla-La Mancha (UCLM), Spain 4Allergy Department. Hospital Universitario Infanta Leonor, Madrid, Spain 5Faculty of Medicine. Mathematics department. Universidad de Castilla La Mancha (UCLM), Spain. 6Plant Physiology, Pharmaceutical and Health Sciences Department, Faculty of Pharmacy, Universidad San Pablo-CEU, Spain 7Immunology Department, Hospital General Universitario de Ciudad Real. Spain","PeriodicalId":520676,"journal":{"name":"Journal of investigational allergology & clinical immunology","volume":" ","pages":"393-395"},"PeriodicalIF":7.2,"publicationDate":"2022-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39822134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
L Ortega-Martín, B Sastre, J M Rodrigo-Muñoz, J A Cañas, M Valverde-Monge, V Del Pozo
{"title":"Anaphylaxis After Mango Fruit Intake: Identification of New Allergens.","authors":"L Ortega-Martín, B Sastre, J M Rodrigo-Muñoz, J A Cañas, M Valverde-Monge, V Del Pozo","doi":"10.18176/jiaci.0766","DOIUrl":"https://doi.org/10.18176/jiaci.0766","url":null,"abstract":"","PeriodicalId":520676,"journal":{"name":"Journal of investigational allergology & clinical immunology","volume":" ","pages":"401-403"},"PeriodicalIF":7.2,"publicationDate":"2022-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39717204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
L M Roesner, K Swiontek, D Lentz, G Begemann, P Kienlin, F Hentges, M Ollert, T Werfel, C Hilger
{"title":"Patients With Atopic Dermatitis Sensitized to Pet Dander Mount IgE and T-Cell Responses to Mammalian Cystatins, Including the Human Self-Protein.","authors":"L M Roesner, K Swiontek, D Lentz, G Begemann, P Kienlin, F Hentges, M Ollert, T Werfel, C Hilger","doi":"10.18176/jiaci.0737","DOIUrl":"https://doi.org/10.18176/jiaci.0737","url":null,"abstract":"<p><strong>Background: </strong>Immediate and delayed-type hypersensitivity reactions to pet-borne allergens are common in atopic diseases. In atopic dermatitis (AD), controversy surrounds the contribution to the disease of cross-reactivity to self-proteins. Human cystatin A and the cat allergen Fel d 3 belong to the cystatins, an evolutionary conserved protein family. The objective of the present study was to assess crossreactivity between mammalian cystatins and to analyze T-cell responses to cystatin in AD patients sensitized to pet dander.</p><p><strong>Methods: </strong>cDNA coding for dog cystatin was cloned from dog skin. Sera from 245 patients with IgE-mediated sensitization to cat and dog dander were tested for IgE binding to recombinantly expressed feline, canine, and human cystatin. Of these, 141 were also diagnosed with AD.</p><p><strong>Results: </strong>Cystatin-specific IgE was detected in 36 patients (14.7%), of whom 19 were considerably affected by AD. Within the AD patients, 9 had measurable IgE against all 3 cystatins. Cystatin-sensitized AD patients did not differ from non-cystatin-sensitized patients in terms of disease severity, age, or total IgE levels. T-cell cytokine measurements showed elevated IL-4 levels after stimulation with feline and human cystatin.</p><p><strong>Conclusions: </strong>The humoral response suggests that in addition to Fel d 3, the homologous protein from dog might play a role in allergy. Furthermore, human cystatin appears to be capable of driving a type 2 immune response in sensitized AD patients and may therefore be considered a so-called autoallergen, as proposed for other evolutionary conserved proteins.</p>","PeriodicalId":520676,"journal":{"name":"Journal of investigational allergology & clinical immunology","volume":" ","pages":"383-392"},"PeriodicalIF":7.2,"publicationDate":"2022-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39392470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
E Nuñez-Borque, D Betancor, S Fernández-Bravo, A Gómez-Cardeñosa, V Esteban, M Garrido-Arandia, M de Las Heras, C Pastor-Vargas, J Cuesta-Herranz
{"title":"Allergen Profile of London Plane Tree Pollen: Clinical and Molecular Pattern in Central Spain.","authors":"E Nuñez-Borque, D Betancor, S Fernández-Bravo, A Gómez-Cardeñosa, V Esteban, M Garrido-Arandia, M de Las Heras, C Pastor-Vargas, J Cuesta-Herranz","doi":"10.18176/jiaci.0702","DOIUrl":"https://doi.org/10.18176/jiaci.0702","url":null,"abstract":"<p><strong>Background and objectives: </strong>Platanus acerifolia (London plane tree) is a deciduous tree of the Platanaceae family. Sensitization to this plant varies with geography. Madrid, located in central Spain, has one of the highest London plane tree pollen concentration levels on the Iberian Peninsula. We evaluated both the clinical characteristics and the molecular sensitization pattern of patients with allergy to London plane tree pollen in the region of Madrid.</p><p><strong>Methods: </strong>Thirty-eight patients allergic to London plane tree pollen were selected according to their clinical symptoms and positive results in skin prick testing and/or specific IgE determination. Serum was collected, and allergen components were evaluated using immunodetection techniques as well as ImmunoCAP. The IgE-binding proteins detected were identified and characterized using mass spectrometry.</p><p><strong>Results: </strong>Analysis of serum samples from allergic patients revealed 9 IgE-binding bands in London plane tree pollen extract. Among these, the 45-kDa protein, which corresponded to Pla a 2, was detected in 76.3% of patients. However, the 18-kDa (Pla a 1) and 9-kDa (Pla a 3) bands were detected in 44.7% and 23.7% of sera, respectively. These results were confirmed using purified proteins. Characterization of the allergen revealed the 27-kDa protein to be glutathione-S-transferase.</p><p><strong>Conclusions: </strong>The molecular profile of patients sensitized to London plane tree pollen differs from that reported in studies from other locations. In the population we studied, the prevalence of Pla a 2 was higher than that of Pla a 1 and Pla a 3. In addition, the minor allergen previously referred to as Pla a 4 was characterized as glutathione-S-transferase.</p>","PeriodicalId":520676,"journal":{"name":"Journal of investigational allergology & clinical immunology","volume":" ","pages":"367-374"},"PeriodicalIF":7.2,"publicationDate":"2022-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38870907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}