IgE-mediated allergy to recombinant human insulin in a diabetic

被引:11
作者
Baur, X
Bossert, J
Koops, F
机构
[1] Ordinariat & Zent Inst Arbeitsmed Hamburg, D-22083 Hamburg, Germany
[2] Gemeinschaftspraxis Mannheim, Mannheim, Germany
关键词
insulin allergy; protamine allergy; IgE antibodies; urticaria; skin testing;
D O I
10.1034/j.1398-9995.2003.00128.x
中图分类号
R392 [医学免疫学];
学科分类号
100102 ;
摘要
A 63-year-old nonatopic female suffering from type II diabetes with severe local and systemic immediate-type allergic reactions to injections of different recombinant human insulin products has been reported. Skin testing as well as IgE measurements not only proved immediate-type sensitization to human insulin but also to porcine and bovine insulin which had never been administered and indicated immunological cross-reactivity. Cross-reactivity was proved by an IgE inhibition test. Independent of this reaction, the patient showed IgE-mediated sensitization to protamine.
引用
收藏
页码:676 / 678
页数:3
相关论文
共 20 条
[1]   Anaphylaxis to subcutaneous neutral protamine Hagedorn insulin with simultaneous sensitization to protamine and insulin [J].
Blanco, C ;
Castillo, R ;
Quiralte, J ;
Delgado, J ;
Garcia, I ;
dePablos, P ;
Carrillo, T .
ALLERGY, 1996, 51 (06) :421-424
[2]   Protamine allergy as a complication of insulin hypersensitivity: A case report [J].
Bollinger, ME ;
Hamilton, RG ;
Wood, RA .
JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY, 1999, 104 (02) :462-465
[3]  
FEDERLIN K, 1971, IMMUNOPATHOLOGY INSU, P19
[4]  
Fick R B Jr, 1999, Curr Opin Pulm Med, V5, P76, DOI 10.1097/00063198-199901000-00013
[5]  
Galloway J A, 1980, Med Times, V108, P91
[6]  
GALLOWAY JA, 1990, DIABETES MELLITUS TH, P506
[7]  
GOTTSCHLICH GM, 1988, ANN ALLERGY, V61, P277
[8]  
GRAMMER L, 1986, CLIN REV ALLERG, V4, P189
[9]  
Hakala T, 2000, ANN CHIR GYNAECOL, V89, P150
[10]   ALLERGIC REACTIONS TO INSULIN [J].
LAMKIN, N ;
LIEBERMAN, P ;
HASHIMOTO, K ;
MOROHASHI, M ;
SULLIVAN, P .
JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY, 1976, 58 (01) :213-223