In vitro Diagnosis of Immediate Drug Hypersensitivity: Should We Go with the Flow?
Author(s) -
Evelyne Mangodt,
Athina L. Van Gasse,
Ine I. Decuyper,
Astrid Uyttebroek,
Margaretha A. Faber,
Vito Sabato,
Chris H. Bridts,
Margo M. Hagendorens,
Didier G. Ebo
Publication year - 2015
Publication title -
international archives of allergy and immunology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.696
H-Index - 100
eISSN - 1423-0097
pISSN - 1018-2438
DOI - 10.1159/000440663
Subject(s) - basophil activation , medicine , drug allergy , gold standard (test) , provocation test , drug , immunoglobulin e , allergy , immunology , anaphylaxis , diagnostic test , basophil , intensive care medicine , antibody , pharmacology , pathology , pediatrics , alternative medicine
Diagnosis of immediate drug hypersensitivity reactions (IDHRs) is based upon history taking, skin prick or intradermal tests and quantification of specific immunoglobulin E (IgE) antibodies. Unfortunately, this is often insufficient to correctly identify patients with IgE-mediated IDHRs and is impossible in the case of non-IgE-mediated IDHRs. Drug provocation tests (DPT) are considered the 'gold standard' diagnostic but are not always possible, for ethical and practical reasons. Therefore, the validation of new cellular tests such as basophil activation testing (BAT) was necessary. This review focuses on the applications of BAT in IDHRs.
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