[Aspirin and other nonsteroidal anti-inflammatory drugs hypersensitivity--mechanisms, diagnostics and treatment]

Pneumonol Alergol Pol. 2008;76(5):366-77.
[Article in Polish]

Abstract

Aspirin hypersensitivity syndrome includes several symptoms from the respiratory tract, skin and digestive system triggered by ingestion of aspirin or other nonsteroidal anti-inflammatory drugs. Asthmatic attacks precipitated by aspirin or other nonsteroidal anti-inflammatory drugs occur in about 10% of all asthmatic patients. In subjects with aspirin hypersensitivity disruption of synthesis of prostaglandin E2 (PGE2) and overproduction of cysteinyl leukotrienes (Cys-LT) seem to be crucial in the pathogenesis of bronchial symptoms. Double blind, placebo controlled challenges are regarded as a gold standard in the diagnosis of aspirin hypersensitivity.

Publication types

  • English Abstract
  • Review

MeSH terms

  • Allergens / administration & dosage
  • Allergens / adverse effects*
  • Anti-Inflammatory Agents, Non-Steroidal / administration & dosage
  • Anti-Inflammatory Agents, Non-Steroidal / adverse effects*
  • Aspirin / administration & dosage
  • Aspirin / adverse effects*
  • Asthma / chemically induced*
  • Asthma / diagnosis*
  • Asthma / metabolism
  • Asthma / prevention & control
  • Dinoprostone / metabolism
  • Drug Hypersensitivity / diagnosis*
  • Drug Hypersensitivity / etiology*
  • Drug Hypersensitivity / metabolism
  • Drug Hypersensitivity / prevention & control
  • Humans
  • Receptors, Leukotriene / metabolism

Substances

  • Allergens
  • Anti-Inflammatory Agents, Non-Steroidal
  • Receptors, Leukotriene
  • Dinoprostone
  • Aspirin