Hypersensitivity Reactions to Monoclonal Antibodies in Children.
biologic drug
challenge
desensitization
drug allergy
hypersensitivity reactions
monoclonal antibodies
prick test
Journal
Medicina (Kaunas, Lithuania)
ISSN: 1648-9144
Titre abrégé: Medicina (Kaunas)
Pays: Switzerland
ID NLM: 9425208
Informations de publication
Date de publication:
12 May 2020
12 May 2020
Historique:
received:
23
03
2020
revised:
28
04
2020
accepted:
01
05
2020
entrez:
16
5
2020
pubmed:
16
5
2020
medline:
30
1
2021
Statut:
epublish
Résumé
Biologic drugs are widely used in pediatric medicine. Monoclonal antibodies (mAbs) in particular are a therapeutic option for rheumatic, autoinflammatory and oncologic diseases. Adverse drug reactions and hypersensitivity reactions (HSR) to mAbs may occur in children. Clinical presentation of HSRs to mAbs can be classified according to phenotypes in infusion-related reactions, cytokine release syndrome, both alpha type reactions and type I (IgE/non-IgE), type III, and type IV reactions, all beta-type reactions. The aim of this review is to focus on HSRs associated with the most frequent mAbs in childhood, with particular attention to beta-type reactions. When a reaction to mAbs is suspected a diagnostic work-up including in-vivo and in-vitro testing should be performed. A drug provocation test is recommended only when no alternative drugs are available. In selected patients with immediate IgE-mediated drug allergy a desensitization protocol is indicated. Despite the heavy use of mAbs in childhood, studies evaluating the reliability of diagnostic test are lacking. Although desensitization may be effective in reducing the risk of reactions in children, standardized pediatric protocols are still not available.
Identifiants
pubmed: 32408641
pii: medicina56050232
doi: 10.3390/medicina56050232
pmc: PMC7279169
pii:
doi:
Substances chimiques
Antibodies, Monoclonal
0
Biological Products
0
Immunologic Factors
0
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Déclaration de conflit d'intérêts
The authors declare no conflict of interest.
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