Hafida Gaouar

Comparison of CD63 Upregulation Induced by NSAIDs on Basophils and Monocytes in Patients with NSAID Hypersensitivity

Background. An in vitro basophil activation test, based on the detection of CD63 upregulation induced by NSAIDs, has been described. Its clinical significance remains controversial. Objectives. In patients with a history of nonallergic NSAID hypersensitivity, stratified according to the severity of the symptoms, to assess with NSAIDs the predictive value of basophil (BAT) and monocyte (MAT) activation tests. Patients/Methods. Sixty patients who had NSAIDs-induced or exacerbated urticaria/angiooedema and 20 controls was included. After incubation with NSAIDs or acetaminophen, leukocytes were analysed for CD63 upregulation. Results. With aspirin, the sensitivity (37%) and specificity (90%) of BAT agree with already published results. In contrast, when patients had had cutaneous and visceral reactions, the frequency of positive BAT 14/22 (64%, P < 0.001) or MAT 10/22 (46%, P < 0.01) were increased. Conclusions. Positive tests were more frequent among patients having a severe hypersensitivity contrasting with the other patients who had results similar to controls.

Two cases of allergy to leucovorin

Abstract We report two cases of an immediate allergic reaction to leucovorin (folinic acid) with positive skin tests. One patient underwent oral desensitization and was then able to continue complete treatment for a metastatic colon cancer.

La cytométrie dans l’exploration de l’allergie

RésuméLes tests cellulaires pour l’explorationin vitro de l’hypersensibilité immédiate, utilisent le polynucléaire basophile du sang périphérique. Ce leucocyte qui possède la plupart des propriétés du mastocyte, un récepteur membranaire de forte affinité pour les IgE (FceR1) et des granulations contenant des médiateurs préformés de l’anaphylaxie, est un bon témoin de la sensibilisation mastocytaire contre un allergène. Mais comme ce dernier est d’un accès difficile, pour les étudesin vitro chez l’homme on préfère travailler sur le basophile.