Allergy Asthma Respir Dis.  2014 May;2(2):134-137. 10.4168/aard.2014.2.2.134.

Drug hypersensitivity to various antihistamines with cross-reactions

• Kim YU
• Lee J

• KMID: 2261749
• DOI: http://doi.org/10.4168/aard.2014.2.2.134

Abstract

Antihistamines (histamine receptor antagonists) are widely prescribed medicines in the treatment of allergic disorders, especially the symptoms of hypersensitivity reactions, mainly blocking the activity of vasoactive amines to their receptors. Drug adverse reactions such as sleepiness and dry mouth are frequently encountered. However, drug hypersensitivity provoking itchy hives by antihistamines were rarely reported. A 41-year-old female patient visited allergy clinic for generalized itchy hives from time to time, which had been aggravated 3 months before. Whenever she was exposed to antihistamines for treatment, she felt her hives got immediately full-blown. As a screening, she was tested with various antihistamines on her skin, then skin test-negative antihistamines were orally administered. Finally we failed to choose a safe antihistamine for the treatment of her symptoms. We report a case of drug hypersensitivity to various antihistamines with cross-reactions in a patient with chronic urticaria.

Keyword

Histamine antagonists; Urticaria; Drug hypersensitivity; Cross reactions

MeSH Terms

Adult
Amines
Cross Reactions
Drug Hypersensitivity*
Female
Histamine Antagonists*
Humans
Hypersensitivity
Mass Screening
Mouth
Skin
Urticaria
Amines
Histamine Antagonists