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Cardinale, Fabio; Amato, Doriana; Mastrototaro, Maria Felicia; Caffarelli, Carlo; Crisafulli, Giuseppe; Franceschini, Fabrizio; Liotti, Lucia; Caimmi, Silvia; Bottau, Paolo; Saretta, Francesca; Mori, Francesca; Bernardini, Roberto
Acta bio-medica : Atenei Parmensis, 01/2019, Letnik: 90, Številka: 3-SJournal Article
Anaphylaxis represents one of the most frequent medical emergencies in childhood. However, as compared to adults, drugs are less common triggers of anaphylaxis in children, with a frequency which is increasing from infancy to adolescence. Deaths seldom occur, maybe because of the paucity of comorbidities in children. Antibiotics and non-steroidal anti-inflammatory drugs (NSAIDs) are the main elicitors in drug-induced anaphylaxis in children. Both immune-mediated (mainly IgE-mediated) and non immune-mediated may be involved. IgG-mediated and complement-mediated mechanisms has been also hypothesized. Correct management relies on a right diagnosis and prompt therapy. A proper work-up is also important to prevent further potentially fatal re-exposures to the same drug or other structurally similar molecules but also unnecessary avoidance of medications not representing the culprit of the episode.
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