Immunological Study of Non Immediate Allergic Reaction to Infliximab
Abstract:
METHODS: The allergological study consisted of patch testing and drug provocation test (DPT) with infliximab at increases doses. The immunological monitorization of the response (T1, T2 and basal) included cellular marker analysis by flow cytometry, skin biopsy and lymphocyte transformation test (LTT) RESULTS: The patch testing were negative with infliximab at 48-72 hours reading in both patients. After DPT with infliximab a maculopapular exanthema was developed in the two patients 24 and 30 hours respectively. The immunological study showed an increase of CD3+ CD4+ lymphocytes with high expression of CXCR3, CLA and CCR10. We observed a strong increase of perforin in both T and NK lymphocytes. These results were confirmed in the skin biopsy obtained after DPT. The LTT showed a CD3+-T-lymphocyte proliferation after infliximab stimulation in the two patients being negative in 10 tolerant …
Año de publicación:
2011
Keywords:
Fuente:
Tipo de documento:
Other
Estado:
Acceso abierto
Áreas de conocimiento:
- Inmunología
- Inmunología
Áreas temáticas:
- Enfermedades