Non-immediate drug hypersensitivity reactions secondary to intravitreal anti-vascular endothelial growth factors

Purpose To describe a series of non-immediate drug hypersensitivity reactions after intravitreal anti-vascular endothelial growth factors (anti-VEGFs). Patients and methods Retrospective report of 6 patients with cutaneous non-immediate drug hypersensitivity reactions following intravitreal anti-VEG...

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Veröffentlicht in:Graefe's archive for clinical and experimental ophthalmology 2022-03, Vol.260 (3), p.1005-1014
Hauptverfasser: Moret, E., Ambresin, A., Gianniou, C., Bijon, J., Besse-Hayat, C., Bogiatzi, S., Hohl, D., Spertini, F., Mantel, I.
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container_issue 3
container_start_page 1005
container_title Graefe's archive for clinical and experimental ophthalmology
container_volume 260
creator Moret, E.
Ambresin, A.
Gianniou, C.
Bijon, J.
Besse-Hayat, C.
Bogiatzi, S.
Hohl, D.
Spertini, F.
Mantel, I.
description Purpose To describe a series of non-immediate drug hypersensitivity reactions after intravitreal anti-vascular endothelial growth factors (anti-VEGFs). Patients and methods Retrospective report of 6 patients with cutaneous non-immediate drug hypersensitivity reactions following intravitreal anti-VEGF injections, 4 after ranibizumab, 1 after bevacizumab and 1 after aflibercept. Results Clinical manifestations ranged from mild maculopapular rash, purpura to severe generalized erythroderma, with or without systemic involvement such as microscopic hematuria and proteinuria or fever. In two out of the six patients, reintroduction of either the same or an alternative anti-VEGF drug did induce a recurrence of the drug hypersensitivity reaction, while 4 patients showed no recurrence. Conclusion Cutaneous non-immediate drug hypersensitivity reactions secondary to intravitreal anti-VEGF may occur. Continuation of the same drug or switch to another anti-VEGF may either induce recurrence or be well supported by the patient. The decision of drug discontinuation should be guided by the severity of the disease.
doi_str_mv 10.1007/s00417-021-05353-3
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Patients and methods Retrospective report of 6 patients with cutaneous non-immediate drug hypersensitivity reactions following intravitreal anti-VEGF injections, 4 after ranibizumab, 1 after bevacizumab and 1 after aflibercept. Results Clinical manifestations ranged from mild maculopapular rash, purpura to severe generalized erythroderma, with or without systemic involvement such as microscopic hematuria and proteinuria or fever. In two out of the six patients, reintroduction of either the same or an alternative anti-VEGF drug did induce a recurrence of the drug hypersensitivity reaction, while 4 patients showed no recurrence. Conclusion Cutaneous non-immediate drug hypersensitivity reactions secondary to intravitreal anti-VEGF may occur. Continuation of the same drug or switch to another anti-VEGF may either induce recurrence or be well supported by the patient. 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Patients and methods Retrospective report of 6 patients with cutaneous non-immediate drug hypersensitivity reactions following intravitreal anti-VEGF injections, 4 after ranibizumab, 1 after bevacizumab and 1 after aflibercept. Results Clinical manifestations ranged from mild maculopapular rash, purpura to severe generalized erythroderma, with or without systemic involvement such as microscopic hematuria and proteinuria or fever. In two out of the six patients, reintroduction of either the same or an alternative anti-VEGF drug did induce a recurrence of the drug hypersensitivity reaction, while 4 patients showed no recurrence. Conclusion Cutaneous non-immediate drug hypersensitivity reactions secondary to intravitreal anti-VEGF may occur. Continuation of the same drug or switch to another anti-VEGF may either induce recurrence or be well supported by the patient. 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Patients and methods Retrospective report of 6 patients with cutaneous non-immediate drug hypersensitivity reactions following intravitreal anti-VEGF injections, 4 after ranibizumab, 1 after bevacizumab and 1 after aflibercept. Results Clinical manifestations ranged from mild maculopapular rash, purpura to severe generalized erythroderma, with or without systemic involvement such as microscopic hematuria and proteinuria or fever. In two out of the six patients, reintroduction of either the same or an alternative anti-VEGF drug did induce a recurrence of the drug hypersensitivity reaction, while 4 patients showed no recurrence. Conclusion Cutaneous non-immediate drug hypersensitivity reactions secondary to intravitreal anti-VEGF may occur. Continuation of the same drug or switch to another anti-VEGF may either induce recurrence or be well supported by the patient. The decision of drug discontinuation should be guided by the severity of the disease.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>34529134</pmid><doi>10.1007/s00417-021-05353-3</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record>
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identifier ISSN: 0721-832X
ispartof Graefe's archive for clinical and experimental ophthalmology, 2022-03, Vol.260 (3), p.1005-1014
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1435-702X
language eng
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source MEDLINE; SpringerNature Complete Journals
subjects Allergies
Angiogenesis Inhibitors - adverse effects
Bevacizumab
Bevacizumab - adverse effects
Drug Hypersensitivity - diagnosis
Drug Hypersensitivity - drug therapy
Drug Hypersensitivity - etiology
Fever
Growth factors
Hematuria
Humans
Hypersensitivity (immediate)
Intravitreal Injections
Medical Ophthalmology
Medicine
Medicine & Public Health
Monoclonal antibodies
Ophthalmology
Patients
Proteinuria
Purpura
Ranibizumab - adverse effects
Receptors, Vascular Endothelial Growth Factor
Recombinant Fusion Proteins
Reintroduction
Retrospective Studies
Side effects
Vascular endothelial growth factor
Vascular Endothelial Growth Factor A
title Non-immediate drug hypersensitivity reactions secondary to intravitreal anti-vascular endothelial growth factors
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