Background:
Allergic reactions
to drugs constitute
one of the most
frequent reasons for
consultations in
Allergology services
with an increasing
prevalence in recent
years.
Objectives: To
describe the results
of the
Alergológica-2005
study on the
clinical
characteristics of
patients consulting
for suspected drug
allergies.
Methods:
Alergológica-2005
was a descriptive,
cross-sectional,
prospective,
observational study
undertaken with 4991
patients treated for
the first time in
Allergology services
in Spain.
Results:
Seven hundred
thirty-two patients
(mean age 41.4 ±
19.4 years)
presented for drug
allergies (62%
females, 38% males).
Diagnosis was confi
rmed in 26.6% of
cases and rejected
in 37.2%. Seventy fi
ve percent reported
only cutaneous
symptoms and 10%
anaphylaxis.
Forty-seven percent
of reactions were
caused by ß-lactams
(63% of which were
due to amoxicillin),
29% by nonsteroidal
anti-inflammatory
drugs (NSAIDs) and
10% by pyrazolones.
Sixty nine children
were treated for
this reason, 8 of
whom were diagnosed
as drug allergic (5
to ß-lactams, 2 to
NSAIDs and 1 to
pyrazolones).
Conclusions:
Drug allergies are
the third most
important reason
behind consultations
in Allergology
services, after
bronchial asthma and
rhinitis. Females
are predominantly
affected and the
ß-lactams, NSAIDs
and pyrazolones are
the 3 drug families
most responsible.
Key words:
Drug
hypersensitivity.
Epidemiology.
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