Evidence map›Paper›PMID 28611774›Full record

ReviewFrontiers in immunology2017

Epidemiology, Mechanisms, and Diagnosis of Drug-Induced Anaphylaxis.

Maria Isabel Montañez, Cristobalina Mayorga, Gador Bogas, Esther Barrionuevo, Ruben Fernandez-Santamaria, Angela Martin-Serrano, Jose Julio Laguna, Maria José Torres, Tahia Diana Fernandez, Inmaculada Doña

Open access · goldAbstract readReview
In one paragraph

Review in Frontiers in immunology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 1 pooled it
7.3field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

57 citing papers in PubMed, 1 synthesis or guideline pooled it, 130 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Hereditary Alpha-Tryptasemia (HαT) as a Risk Modifier for Severe Anaphylaxis.Immunology and allergy clinics of North America · 2026
    Review
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  10. Review
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  19. Article
  20. Tools for Etiologic Diagnosis of Drug-Induced Allergic Conditions.International journal of molecular sciences · 2023
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 1 country.

Maria Isabel MontañezResearch Laboratory, IBIMA-Regional University Hospital of Malaga-UMA, Málaga, Spain.
Cristobalina MayorgaResearch Laboratory, IBIMA-Regional University Hospital of Malaga-UMA, Málaga, Spain.
Gador BogasAllergy Unit, IBIMA-Regional University Hospital of Malaga-UMA, Málaga, Spain.
Esther BarrionuevoAllergy Unit, IBIMA-Regional University Hospital of Malaga-UMA, Málaga, Spain.
Ruben Fernandez-SantamariaResearch Laboratory, IBIMA-Regional University Hospital of Malaga-UMA, Málaga, Spain.
Angela Martin-SerranoResearch Laboratory, IBIMA-Regional University Hospital of Malaga-UMA, Málaga, Spain.
Jose Julio LagunaAllergy Unit, Cruz Roja Hospital, Madrid, Spain.
Maria José TorresAndalusian Center for Nanomedicine and Biotechnology-BIONAND, Málaga, Spain.
Tahia Diana FernandezResearch Laboratory, IBIMA-Regional University Hospital of Malaga-UMA, Málaga, Spain.
Inmaculada DoñaAllergy Unit, IBIMA-Regional University Hospital of Malaga-UMA, Málaga, Spain.
Instituto de Investigación Biomédica de Málaga · ESAndalusian Centre for Nanomedicine and Biotechnology · ESHospital Regional Universitario de Málaga · ESHospital Central de la Cruz Roja San José y Santa Adela · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Anaphylaxis is an acute, life-threatening, multisystem syndrome resulting from the sudden release of mediators by mast cells and basophils. Although anaphylaxis is often under-communicated and thus underestimated, its incidence appears to have risen over recent decades. Drugs are among the most common triggers in adults, being analgesics and antibiotics the most common causal agents. Anaphylaxis can be caused by immunologic or non-immunologic mechanisms. Immunologic anaphylaxis can be mediated by IgE-dependent or -independent pathways. The former involves activation of Th2 cells and the cross-linking of two or more specific IgE (sIgE) antibodies on the surface of mast cells or basophils. The IgE-independent mechanism can be mediated by IgG, involving the release of platelet-activating factor, and/or complement activation. Non-immunological anaphylaxis can occur through the direct stimulation of mast cell degranulation by some drugs, inducing histamine release and leading to anaphylactic symptoms. Work-up of a suspected drug-induced anaphylaxis should include clinical history; however, this can be unreliable, and skin tests should also be used if available and validated. Drug provocation testing is not recommended due to the risk of inducing a harmful reaction.

Indexed as

anaphylaxisdrugsIgEIgGin vitro testsin vivo diagnosisMAS-related G protein-coupled receptor

Identifiers

PMID28611774
PMCPMC5446992
OpenAlexW2618311856

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.