Report from the National Institute of Allergy and Infectious Diseases workshop on drug allergy

J Allergy Clin Immunol. 2015 Aug;136(2):262-71.e2. doi: 10.1016/j.jaci.2015.05.027.

Abstract

Allergic reactions to drugs are a serious public health concern. In 2013, the Division of Allergy, Immunology, and Transplantation of the National Institute of Allergy and Infectious Diseases sponsored a workshop on drug allergy. International experts in the field of drug allergy with backgrounds in allergy, immunology, infectious diseases, dermatology, clinical pharmacology, and pharmacogenomics discussed the current state of drug allergy research. These experts were joined by representatives from several National Institutes of Health institutes and the US Food and Drug Administration. The participants identified important advances that make new research directions feasible and made suggestions for research priorities and for development of infrastructure to advance our knowledge of the mechanisms, diagnosis, management, and prevention of drug allergy. The workshop summary and recommendations are presented herein.

Keywords: Drug allergy; Stevens-Johnson syndrome; altered peptide repertoire hypothesis; desensitization; drug hypersensitivity; hapten hypothesis; pharmacogenomics; pharmacologic interaction with immune receptor hypothesis; toxic epidermal necrolysis.

Publication types

  • Consensus Development Conference, NIH

MeSH terms

  • Carbamazepine / adverse effects
  • Dideoxynucleosides / adverse effects
  • Drug Hypersensitivity / diagnosis
  • Drug Hypersensitivity / epidemiology*
  • Drug Hypersensitivity / etiology
  • Drug Hypersensitivity / prevention & control
  • Gene Expression
  • HLA Antigens / genetics
  • HLA Antigens / immunology
  • Haptens / immunology
  • Humans
  • Immunoglobulin E / blood
  • National Institute of Allergy and Infectious Diseases (U.S.)
  • Practice Guidelines as Topic
  • Receptors, Antigen, T-Cell / genetics
  • Receptors, Antigen, T-Cell / immunology
  • Stevens-Johnson Syndrome / diagnosis
  • Stevens-Johnson Syndrome / epidemiology*
  • Stevens-Johnson Syndrome / etiology
  • Stevens-Johnson Syndrome / prevention & control
  • Terminology as Topic
  • Translational Research, Biomedical / trends*
  • United States / epidemiology
  • Virus Diseases / diagnosis
  • Virus Diseases / epidemiology*
  • Virus Diseases / immunology
  • Virus Diseases / prevention & control

Substances

  • Dideoxynucleosides
  • HLA Antigens
  • Haptens
  • Receptors, Antigen, T-Cell
  • Carbamazepine
  • Immunoglobulin E
  • abacavir