Evidence map›Paper›PMID 32099830›Full record

ReviewAsia Pacific allergy2020

Drug hypersensitivity reactions in Asia: regional issues and challenges.

Bernard Yu-Hor Thong, Michaela Lucas, Hye-Ryun Kang, Yoon-Seok Chang, Philip Hei Li, Min Moon Tang, James Yun, Jie Shen Fok, Byung-Keun Kim, Mizuho Nagao and 16 more

Open access · diamondAbstract readReview
In one paragraph

Review in Asia Pacific allergy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.6field-weighted citation impact, top 11% 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

19 citing papers in PubMed, 34 citations in OpenAlex.

  1. Trial
  2. Article
  3. Bridging Global Disparities in Drug Allergy Through AI-Assisted Training for Non-Specialists: Findings From the Multinational ADAPT-2 Course.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2026
    Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Why Pharmacovigilance of Non-steroidal Anti-inflammatory Drugs is Important in India?Endocrine, metabolic & immune disorders drug targets · 2024
    Review
  9. Article
  10. A new journey ofAsia Pacific allergy · 2023
    Article
  11. The Activities of Antimicrobials AgainstInfection and drug resistance · 2023
    Article
  12. Review
  13. Article
  14. Review
  15. Review
  16. Article
  17. Article
  18. Article
  19. The 10th Anniversary ofAsia Pacific allergy · 2020
    Article
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

26 authors at 20 institutions in 10 countries.

Bernard Yu-Hor ThongDepartment of Rheumatology, Allergy and Immunology, Tan Tock Seng Hospital, Singapore.ORCID https://orcid.org/0000-0002-6338-8482
Michaela LucasDepartment of Immunology, Pathwest and Sir Charles Gairdner Hospital, Medical School, University of Western Australia, Perth, Australia.ORCID https://orcid.org/0000-0001-8881-9990
Hye-Ryun KangInstitute of Allergy and Clinical Immunology, Seoul National University Medical Research Center, Department of Internal Medicine, Seoul National University College of Medicine, Drug Safety Center, Seoul National University Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0002-2317-4201
Yoon-Seok ChangDivision of Allergy and Clinical Immunology, Department of Internal Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.ORCID https://orcid.org/0000-0003-3157-0447
Philip Hei LiDivision of Rheumatology and Clinical Immunology, Department of Medicine, Queen Mary Hospital, University of Hong Kong, Hong Kong.ORCID https://orcid.org/0000-0002-9155-9162
Min Moon TangHospital Kuala Lumpur, Kuala Lumpur, Malaysia.ORCID https://orcid.org/0000-0001-7760-3238
James YunFaculty of Medicine and Health, The University of Sydney, Division of Medicine, Nepean Hospital, Sydney, Australia.ORCID https://orcid.org/0000-0002-3482-5663
Jie Shen FokDepartment of Respiratory Medicine, Box Hill Hospital, Eastern Health, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Australia.ORCID https://orcid.org/0000-0002-3450-0877
Byung-Keun KimDepartment of Internal Medicine, Korea University Medical Center Anam Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0001-5147-6306
Mizuho NagaoAllergy Center of Mie National Hospital, Tsu, Japan.ORCID https://orcid.org/0000-0003-3557-8761
Iris RengganisDepartment of Internal Medicine, Faculty of Medicine Universitas Indonesia - Cipto Mangunkusumo Hospital, Jakarta, Indonesia.ORCID https://orcid.org/0000-0001-8748-8544
Yi-Giien TsaiSchool of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.ORCID https://orcid.org/0000-0002-6744-1682
Wen-Hung ChungDepartment of Dermatology, Drug Hypersensitivity Clinical and Research Center, Chang Gung Memorial Hospital, Keelung and Linkou Branches, College of Medicine, Chang Gung University, Taipei, Taiwan.ORCID https://orcid.org/0000-0003-1681-0959
Masao YamaguchiDivision of Respiratory Medicine and Allergology, Department of Medicine, Teikyo University School of Medicine, Tokyo, Japan.ORCID https://orcid.org/0000-0001-6167-0591
Ticha RerkpattanapipatAllergy, Immunology and Rheumatology Division, Department of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.ORCID https://orcid.org/0000-0002-6630-2795
Wasu KamchaisatianDepartment of Pediatrics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Ratchathewi, Bangkok, Thailand.ORCID https://orcid.org/0000-0003-0839-7682
Ting Fan LeungDepartment of Paediatrics, The Chinese University of Hong Kong, Hong Kong.ORCID https://orcid.org/0000-0002-6469-1926
Ho Joo YoonDepartment of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-4645-4863
Luo ZhangDepartment of Otolaryngology Head and Neck Surgery, Beijing TongRen Hospital, Capital Medical University, Beijing Key Laboratory of Nasal Diseases, Beijing Institute of Otolaryngology, Beijing, China..ORCID https://orcid.org/0000-0002-0910-9884
Amir Hamzah Abdul LatiffAllergy & Immunology Centre, Pantai Hospital, Kuala Lumpur, Malaysia.ORCID https://orcid.org/0000-0002-6304-0494
Takao FujisawaAllergy Center of Mie National Hospital, Tsu, Japan.ORCID https://orcid.org/0000-0002-9196-9436
Francis ThienEastern Health, Melbourne; Monash University, Melbourne, Australia.ORCID https://orcid.org/0000-0003-0925-6566
Mariana C CastellsDivision of Rheumatology, Immunology, and Allergy, Department of Medicine, Mastocytosis Center, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.ORCID https://orcid.org/0000-0001-6451-0163
Pascal DemolyDivision of Allergy, Department of Pulmonology, Hôpital Arnaud de Villeneuve, University Hospital of Montpellier, Montpellier, UPMC Univ Paris 06, UMRS 1136, Equipe - EPAR - IPLESP, Sorbonne Universités, Paris, France..ORCID https://orcid.org/0000-0001-7827-7964
Jiu-Yao WangGraduate Institute of Medical Sciences, China Medical University, Taichung, Taiwan.ORCID https://orcid.org/0000-0003-4540-9822
Ruby PawankarDepartment of Pediatrics, Nippon Medical School, Tokyo, Japan.ORCID https://orcid.org/0000-0002-3091-7237
Hospital Kuala Lumpur · MYNational Mie Hospital · JPRamathibodi Hospital · THBeijing Tongren Hospital · CNChang Gung University · TWChina Medical University · TWChinese University of Hong Kong · HKEastern Health · AUHanyang University · KRKaohsiung Medical University · TWKorea University Medical Center · KRMonash University · AUNepean Hospital · AUNippon Medical School · JPQueen Mary Hospital · CNRumah Sakit Umum Pusat Nasional Dr. Cipto Mangunkusumo · IDSeoul National University Bundang Hospital · KRSir Charles Gairdner Hospital · AUTan Tock Seng Hospital · SGTeikyo University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There are geographical, regional, and ethnic differences in the phenotypes and endotypes of patients with drug hypersensitivity reactions (DHRs) in different parts of the world. In Asia, aspects of drug hypersensitivity of regional importance include IgE-mediated allergies and T-cell-mediated reactions, including severe cutaneous adverse reactions (SCARs), to beta-lactam antibiotics, antituberculous drugs, nonsteroidal anti-inflammatory drugs (NSAIDs) and radiocontrast agents. Delabeling of low-risk penicillin allergy using direct oral provocation tests without skin tests have been found to be useful where the drug plausibility of the index reaction is low. Genetic risk associations of relevance to Asia include human leucocyte antigen (HLA)-B*1502 with carbamazepine SCAR, and HLA-B*5801 with allopurinol SCAR in some Asian ethnic groups. There remains a lack of safe and accurate diagnostic tests for antituberculous drug allergy, other than relatively high-risk desensitization regimes to first-line antituberculous therapy. NSAID hypersensitivity is common among both adults and children in Asia, with regional differences in phenotype especially among adults. Low dose aspirin desensitization is an important therapeutic modality in individuals with cross-reactive NSAID hypersensitivity and coronary artery disease following percutaneous coronary intervention. Skin testing allows patients with radiocontrast media hypersensitivity to confirm the suspected agent and test for alternatives, especially when contrasted scans are needed for future monitoring of disease relapse or progression, especially cancers.

Indexed as

AnaphylaxisAsthmaDrugsHypersensitivity, Pharmacogenetics

Identifiers

PMID32099830
PMCPMC7016324
OpenAlexW3003855543

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.