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Clin Exp Dermatol ; 48(1): 27-30, 2023 Jan 20.
Artículo en Inglés | MEDLINE | ID: mdl-36669172

RESUMEN

Clinical applications of skin testing are known to help diagnose IgE-mediated and T-cell-mediated delayed cutaneous reactions. By contrast, drug-induced immune complex-mediated vasculitis is primarily diagnosed based on medical history, clinical setting and laboratory evidence of immune-complex formation, as there are no proven methods to identify the suspect culprit. We report three cases of drug- or biologic-induced immune complex-mediated vasculitis, in which the culprit agents could be confirmed by a positive intradermal test with later reading (between 12 and 24 h after the test), with verification by immunohistochemical or immunofluorescent results. The findings of our study suggest that skin tests with a delayed reading could have a potential role in diagnosing some instances of immune complex-mediated hypersensitivity reactions.


Asunto(s)
Hipersensibilidad a las Drogas , Hipersensibilidad Tardía , Hipersensibilidad Inmediata , Hipersensibilidad , Vasculitis , Humanos , Hipersensibilidad a las Drogas/diagnóstico , Complejo Antígeno-Anticuerpo/efectos adversos , Pruebas Cutáneas/métodos , Hipersensibilidad/diagnóstico , Hipersensibilidad/etiología , Hipersensibilidad Inmediata/inducido químicamente , Hipersensibilidad Tardía/inducido químicamente
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