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  • Title: Role of IgE in anaphylactoid reactions during anaesthesia.
    Author: Fisher MM, Baldo BA.
    Journal: Ann Fr Anesth Reanim; 1985; 4(2):133-6. PubMed ID: 2408509.
    Abstract:
    As diagnostic methods of detecting drug-specific IgE antibodies become more sophisticated, the evidence implicating specific IgE in anaesthetic allergy has increased. To implicate IgE in reactions, a history resembling anaphylaxis, the demonstration of drug-specific histamine release by intradermal testing and the demonstration of specific antibodies are necessary. Such evidence is seen in 70% of muscle relaxant reactors. Basophil histamine release studies suggest that histamine release is allergen-induced, not direct, and the final evidence necessary is to demonstrate the role of drug-specific antibodies in such histamine release.
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