Evidence map›Paper›PMID 38015412›Full record

ArticleDermatology and therapy2023

Real-Life Utility of Basophil Activation Test in the Diagnosis of Immediate Hypersensitivity Drug Reactions.

Dimitra Koumaki, Stamatios Gregoriou, Georgios Evangelou, Alexander Katoulis, Marios Papadakis, Sabine Elke Krueger-Krasagakis, Aikaterini Doxastaki, Dimitrios Mylonakis, Konstantinos Krasagakis

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Dermatology and therapy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 18% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 2 countries.

Dimitra KoumakiDermatology Department, University Hospital of Heraklion, 71110, Heraklion, Crete, Greece. dkoumaki@yahoo.gr.ORCID http://orcid.org/0000-0001-7074-2374
Stamatios GregoriouDepartment of Dermatology and Venereology, Medical School of Athens, Andreas Sygros Hospital, National and Kapodistrian University of Athens, I. Dragoumi 5, 161 21, Athens, Greece.ORCID http://orcid.org/0000-0002-7585-1032
Georgios EvangelouDermatology Department, University Hospital of Heraklion, 71110, Heraklion, Crete, Greece.ORCID http://orcid.org/0000-0003-4468-446X
Alexander Katoulis2nd Department of Dermatology and Venereology, Medical School, National and Kapodistrian University of Athens, "Attikon" General University Hospital, Rimini 1, Haidari, 124 62, Athens, Greece.ORCID http://orcid.org/0000-0001-8189-7486
Marios PapadakisDepartment of Surgery II, Witten/Herdecke University, Heusnerstrasse 40, 42283, Witten, Germany.ORCID http://orcid.org/0000-0002-9020-874X
Sabine Elke Krueger-KrasagakisDermatology Department, University Hospital of Heraklion, 71110, Heraklion, Crete, Greece.
Aikaterini DoxastakiDermatology Department, University Hospital of Heraklion, 71110, Heraklion, Crete, Greece.
Dimitrios MylonakisDermatology Department, University Hospital of Heraklion, 71110, Heraklion, Crete, Greece.
Konstantinos KrasagakisDermatology Department, University Hospital of Heraklion, 71110, Heraklion, Crete, Greece.
University Hospital of Heraklion · GRNational and Kapodistrian University of Athens · GRWitten/Herdecke University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe basophil activation test (BAT) is a flow cytometry laboratory technique that assesses the level of activation indicators expressed on the surface of basophils. We conducted a real-life study in a prospective cohort of patients with reported drug hypersensitivity reactions to determine the true relevance of BAT as a diagnostic tool for assessing immediate hypersensitivity reactions to medicines.

methodsWe prospectively assessed individuals with clinical suspicion of immediate hypersensitivity reactions to drugs over a 2-year period. The allergological evaluation was carried out in accordance with European Academy of Allergy and Clinical Immunology (EAACI) guidance. All patients underwent BAT using the activation marker CD63.

resultsIn total 13 patients with 54 reported immediate drug hypersensitivity reactions to medications were included in this study. Twelve were female (92.3%) and one was male (7.70%). The mean ± SD age of the patients was 47.31 ± 19.94 years. Antibiotics were tested in 35.2% (19/54) of patients, corticosteroids in 24.1% (13/54), iodinated contrast medium in 14.8% (8/54), and NSAIDs in 5.6% (3/54). There was no correlation between the BAT results and the age of patients, gender, type of medication, or time interval between the allergic reaction and BAT procedure. The sensitivity of BAT 5% CD63

conclusionsThe sensitivity of BAT for drug allergies is limited, but it can nevertheless be very helpful before contemplating provocation testing in cases of life-threatening drug allergies where patients cannot be rechallenged or in cases of medications for which no other tests are available or their results are ambiguous.

Indexed as

AnaphylaxisAngioedemaBasophil activation testHypersensitivityImmediate drug reaction

Identifiers

PMID38015412
PMCPMC10689598
OpenAlexW4389096220

What OpenQuestion holds

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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.