510:
445:
830:
should make their patients aware of the drugs or antitoxins to which they are allergic if there is a reaction. The physician will then choose an alternate antitoxin if it is appropriate, or continue with prophylactic measures. This is important if a patient has received an antitoxin before, as the
387:. The body produces antibodies, which combine with these proteins to form immune complexes. These complexes precipitate, enter the walls of blood vessels, and activate the complement cascade, initiating an inflammatory response and consuming much of the available
1313:
1298:
718:
can also cause serum sickness. However, according to the Johns
Hopkins Bloomberg School of Public Health, routinely recommended vaccinations to the general population in the U.S have not been shown to cause serum sickness, as of 2012.
1958:
252:
Signs and symptoms can take as long as 14 days after exposure to appear. They may include signs and symptoms commonly associated with hypersensitivity or infections. Common symptoms include:
2557:
810:
that may cause serum sickness is the best way to prevent serum sickness. Sometimes, the benefits of using an antitoxin outweigh the risks in the case of a life-threatening
2437:
1663:
1951:
1420:
842:
or drug treatment should be stopped as soon as possible. Once treatment has stopped, symptoms usually resolve within seven days. Outcomes are generally good.
1658:
1944:
1668:
1541:
2520:
2515:
2116:
2471:
403:, a low C3 level in serum. They can also cause more reactions, causing the typical symptoms of serum sickness. This is similar to a generalised
2293:
1684:
1653:
1165:
1115:
1043:
1679:
1413:
213:(SSLR) is occasionally used to refer to similar illnesses that arise from the introduction of certain non-protein substances, such as
1197:"Serum sickness following rabbit antithymocyte-globulin induction in a liver transplant recipient: case report and literature review"
2510:
2288:
1696:
601:
491:
210:
2147:
2283:
2329:
2191:
531:
473:
202:
2186:
352:
875:
Serum sickness is becoming less common over time. Many drugs based on animal serum have been replaced with artificial drugs.
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1406:
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88:
1141:
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2500:
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2181:
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1851:
1766:
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1638:
1580:
1459:
1433:
763:
225:
455:
228:. It may be prevented by not using an antitoxin derived from animal serum, and through prophylactic
2527:
1836:
1826:
1476:
1317:
884:
791:
324:
97:
2532:
2414:
2404:
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2013:
1971:
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80:
42:
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2018:
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30:
1398:
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2065:
1992:
1967:
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1245:
1208:
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1103:
1031:
953:
943:
900:
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732:
575:
198:
1936:
391:(C3). They can be found circulating in the blood, which differentiates serum sickness from
2419:
2389:
2273:
2201:
2055:
2008:
1910:
1724:
1491:
1486:
905:
826:
may be used beforehand in order to identify individuals who may be at risk of a reaction.
404:
344:
282:
236:. It usually resolves naturally, but may be treated with corticosteroids, antihistamines,
194:
136:
116:
55:
1393:
2257:
2050:
1796:
1606:
1566:
1531:
1027:
958:
931:
888:
864:
845:
819:
775:
748:
638:
368:
320:
233:
140:
112:
1322:
2551:
2478:
2070:
1781:
1574:
1441:
1157:
1107:
849:
815:
673:
376:
229:
856:
are the main line of treatment. The choice depends on the severity of the reaction.
2373:
2163:
2045:
2034:
1830:
1471:
1379:
1265:
728:
663:
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628:
428:
308:
1333:
2060:
2040:
2024:
1786:
1613:
1449:
1363:
767:
727:
Diagnosis is based on history given by patient, including recent medications. A
653:
623:
509:
340:
316:
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396:
286:
270:
241:
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148:
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131:
35:
1182:"Institute for Vaccine Safety || do Vaccines Cause Serum Sickness?"
1791:
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839:
827:
807:
771:
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683:
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633:
424:
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304:
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174:
155:
66:
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348:
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1983:
1905:
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384:
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292:
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1302:
1213:
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811:
643:
312:
279:, usually appears before rash. This may be as high as 40 °C (104 °F).
181:
source, occurring 5–10 days after exposure. Symptoms often include a
178:
1290:
335:
Rarely, serum sickness can have severe complications. These include
220:
Serum sickness may be diagnosed based on the symptoms, and using a
2319:
1987:
1895:
1881:
1861:
795:
787:
469:. Do these cause actual serum sickness with real immune complexes?
276:
190:
101:
93:
51:
1890:
1761:
1736:
256:
182:
47:
1940:
1402:
503:
438:
1096:
Pediatric
Clinical Advisor - Instant Diagnosis and Treatment
831:
serum sickness caused can be worse and occur more quickly.
1195:
Lundquist AL, Chari RS, Wood JH, et al. (May 2007).
932:"Serum sickness-like reaction associated with cefazolin"
618:. Some of the drugs associated with serum sickness are:
1280:
2493:
2459:
2450:
2428:
2382:
2361:
2342:
2312:
2266:
2251:
2210:
2162:
2155:
2141:
2111:
2086:
2001:
1978:
1705:
1637:
1594:
1555:
1519:
1440:
1354:
1284:
154:
130:
122:
107:
87:
73:
62:
41:
29:
24:
415:Serum sickness is usually a result of exposure to
2438:Transfusion-associated graft-versus-host disease
1664:Transfusion-associated graft versus host disease
1018:Paizis, Ekaterini; Murphy, Brendan F. (1998).
1952:
1414:
614:Serum sickness may be caused by some routine
8:
1236:Jackson R (October 2000). "Serum sickness".
1659:Transfusion associated circulatory overload
538:. Unsourced material may be challenged and
423:are generally given to prevent or treat an
289:), particularly near the site of injection.
2558:Complications of surgical and medical care
2456:
2358:
2263:
2159:
2138:
1998:
1959:
1945:
1937:
1669:Febrile non-hemolytic transfusion reaction
1542:International Society of Blood Transfusion
1421:
1407:
1399:
1281:
930:Brucculeri M, Charlton M, Serur D (2006).
883:Serum sickness was first characterized by
79:symptoms, blood test (low cell counts and
21:
1212:
957:
947:
766:may be taken and tested, which will show
731:may be taken and tested, which will show
602:Learn how and when to remove this message
492:Learn how and when to remove this message
2472:Allergic bronchopulmonary aspergillosis
922:
786:Similar skin symptoms may be caused by
273:), especially in finger and toe joints.
244:. It was first characterized in 1906.
2294:Post-streptococcal glomerulonephritis
1654:Transfusion related acute lung injury
1085:
1083:
1081:
1079:
1077:
1075:
1013:
1011:
1009:
1007:
1005:
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1001:
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997:
7:
1135:
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1131:
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1127:
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1065:
1063:
1061:
1059:
1057:
1055:
995:
993:
991:
989:
987:
985:
983:
981:
979:
977:
536:adding citations to reliable sources
419:derived from animals. These sera or
395:. The result is a leukocytoclastic
111:not using antitoxins, prophylactic
465:Remarkably similar to the list in
14:
2511:Autoimmune polyendocrine syndrome
1697:Transfusion transmitted infection
2148:Hemolytic disease of the newborn
1158:10.1016/B978-141600087-7.50104-5
1108:10.1016/B978-032303506-4.10296-2
1090:Copenhaven, Christopher (2007).
508:
443:
2330:Subacute bacterial endocarditis
2192:Immune thrombocytopenic purpura
822:may be used with an antitoxin.
203:immune complex hypersensitivity
1:
2410:Postorgasmic illness syndrome
1394:Serum sickness-like reactions
860:may be used in severe cases.
2467:Hypersensitivity pneumonitis
1586:Intraoperative blood salvage
1146:Pediatric Emergency Medicine
911:Serum sickness-like reaction
467:serum sickness-like reaction
393:serum sickness-like reaction
211:serum sickness–like reaction
2533:Systemic autoimmune disease
2369:Allergic contact dermatitis
2289:Hypersensitivity vasculitis
2172:Autoimmune hemolytic anemia
1602:Blood compatibility testing
463:. The specific problem is:
2574:
2039:common allergies include:
1250:10.1177/120347540000400411
1024:Encyclopedia of Immunology
774:(blood in the urine, with
459:to meet Knowledge (XXG)'s
1649:Transfusion hemosiderosis
1140:Benjamin, Lee S. (2008).
867:has also been described.
747:), high sedimentation of
365:type III hypersensitivity
177:derived from a non-human
58:(swelling of lymph nodes)
2284:Henoch–Schönlein purpura
2099:Eosinophilic esophagitis
1629:Monocyte monolayer assay
751:, and a decrease in the
323:), and in serious cases
240:, and (in severe cases)
2400:Hashimoto's thyroiditis
2187:Guillain–Barré syndrome
1504:Granulocyte transfusion
814:or sting. Prophylactic
411:Antitoxins and antisera
353:Guillain–Barré syndrome
299:Other symptoms include
2501:Autoimmune adrenalitis
1142:"101 - Serum Sickness"
1036:10.1006/rwei.1999.0547
1030:. pp. 2168–2170.
782:Differential diagnosis
389:complement component 3
266:itching and urticaria.
126:resolves spontaneously
89:Differential diagnosis
1639:Transfusion reactions
949:10.1186/1472-6904-6-3
710:Allergenic extracts,
2506:Autoimmune hepatitis
2485:Transplant rejection
2395:Giant cell arteritis
2325:Rheumatoid arthritis
2182:Goodpasture syndrome
2094:Autoimmune urticaria
1619:Kleihauer–Betke test
1581:Exchange transfusion
1460:Platelet transfusion
1434:transfusion medicine
1152:. pp. 741–743.
532:improve this section
474:improve this section
383:present for harmful
375:is given, the human
367:reaction, caused by
363:Serum sickness is a
1972:autoimmune diseases
1707:Blood group systems
1642:and adverse effects
1477:Fresh frozen plasma
885:Clemens von Pirquet
792:erythema multiforme
753:complement proteins
98:erythema multiforme
83:counts), urine test
2415:Reactive arthritis
2405:Multiple sclerosis
2299:Reactive arthritis
2197:Pemphigus vulgaris
2177:Bullous pemphigoid
2078:Penicillin allergy
2014:Allergic urticaria
1355:External resources
936:BMC Clin Pharmacol
401:hypocomplementemia
399:. This results in
305:blood in the urine
301:glomerulonephritis
248:Signs and symptoms
197:. It is a type of
81:complement protein
2545:
2544:
2541:
2540:
2446:
2445:
2338:
2337:
2247:
2246:
2243:
2242:
2235:Pernicious anemia
2230:Myasthenia gravis
2107:
2106:
2030:Atopic dermatitis
2019:Allergic rhinitis
1934:
1933:
1511:Blood substitutes
1499:White blood cells
1430:Blood transfusion
1389:
1388:
1167:978-1-4160-0087-7
1117:978-0-323-03506-4
1045:978-0-12-226765-9
745:white blood cells
612:
611:
604:
586:
502:
501:
494:
461:quality standards
452:This section may
431:(venomous bite).
325:circulatory shock
164:
163:
75:Diagnostic method
19:Medical condition
16:Medical condition
2565:
2528:Sjögren syndrome
2457:
2359:
2264:
2160:
2139:
1999:
1968:Hypersensitivity
1961:
1954:
1947:
1938:
1624:Antibody elution
1571:plateletpheresis
1537:Blood management
1520:General concepts
1423:
1416:
1409:
1400:
1282:
1270:
1269:
1238:J Cutan Med Surg
1233:
1227:
1226:
1216:
1214:10.1002/lt.21098
1192:
1186:
1185:
1178:
1172:
1171:
1137:
1122:
1121:
1098:(2nd ed.).
1092:"Serum Sickness"
1087:
1050:
1049:
1026:(2nd ed.).
1020:"Serum Sickness"
1015:
972:
971:
961:
951:
927:
901:Hypersensitivity
770:, and sometimes
733:thrombocytopenia
607:
600:
596:
593:
587:
585:
551:"Serum sickness"
544:
512:
504:
497:
490:
486:
483:
477:
447:
446:
439:
379:can mistake the
369:immune complexes
345:laryngeal oedema
199:hypersensitivity
22:
2573:
2572:
2568:
2567:
2566:
2564:
2563:
2562:
2548:
2547:
2546:
2537:
2489:
2452:
2442:
2424:
2420:Type 1 diabetes
2390:Coeliac disease
2378:
2350:
2334:
2308:
2274:Arthus reaction
2255:
2239:
2225:Graves' disease
2206:
2202:Rheumatic fever
2151:
2119:
2103:
2082:
2009:Allergic asthma
1990:
1974:
1965:
1935:
1930:
1725:Secretor status
1701:
1641:
1633:
1590:
1551:
1515:
1492:Cryosupernatant
1487:Cryoprecipitate
1467:Red blood cells
1436:
1427:
1390:
1385:
1384:
1350:
1349:
1293:
1279:
1274:
1273:
1235:
1234:
1230:
1194:
1193:
1189:
1180:
1179:
1175:
1168:
1139:
1138:
1125:
1118:
1102:. p. 518.
1089:
1088:
1053:
1046:
1017:
1016:
975:
929:
928:
924:
919:
906:Arthus reaction
897:
881:
873:
846:Corticosteroids
837:
820:corticosteroids
804:
784:
749:red blood cells
725:
708:
703:
608:
597:
591:
588:
545:
543:
529:
513:
498:
487:
481:
478:
471:
448:
444:
437:
413:
405:Arthus reaction
361:
333:
283:lymphadenopathy
250:
234:corticosteroids
201:, specifically
195:lymphadenopathy
173:to proteins in
169:in humans is a
137:corticosteroids
117:corticosteroids
56:lymphadenopathy
20:
17:
12:
11:
5:
2571:
2569:
2561:
2560:
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2549:
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2542:
2539:
2538:
2536:
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2530:
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2524:
2523:
2518:
2508:
2503:
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2335:
2333:
2332:
2327:
2322:
2316:
2314:
2310:
2309:
2307:
2306:
2304:Serum sickness
2301:
2296:
2291:
2286:
2281:
2276:
2270:
2268:
2261:
2258:Immune complex
2249:
2248:
2245:
2244:
2241:
2240:
2238:
2237:
2232:
2227:
2221:
2219:
2208:
2207:
2205:
2204:
2199:
2194:
2189:
2184:
2179:
2174:
2168:
2166:
2157:
2153:
2152:
2150:
2145:
2143:
2136:
2135:
2134:
2133:
2132:
2127:
2109:
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2105:
2104:
2102:
2101:
2096:
2090:
2088:
2084:
2083:
2081:
2080:
2075:
2074:
2073:
2068:
2063:
2058:
2053:
2048:
2043:
2032:
2027:
2022:
2016:
2011:
2005:
2003:
1996:
1976:
1975:
1966:
1964:
1963:
1956:
1949:
1941:
1932:
1931:
1929:
1928:
1923:
1918:
1913:
1908:
1903:
1898:
1893:
1884:
1879:
1874:
1869:
1864:
1859:
1854:
1849:
1844:
1839:
1834:
1824:
1819:
1814:
1809:
1804:
1799:
1794:
1789:
1784:
1779:
1774:
1769:
1764:
1759:
1754:
1749:
1744:
1739:
1734:
1729:
1728:
1727:
1717:
1711:
1709:
1703:
1702:
1700:
1699:
1694:
1692:Serum sickness
1689:
1688:
1687:
1682:
1671:
1666:
1661:
1656:
1651:
1645:
1643:
1635:
1634:
1632:
1631:
1626:
1621:
1616:
1611:
1610:
1609:
1607:Cross-matching
1598:
1596:
1592:
1591:
1589:
1588:
1583:
1578:
1567:plasmapheresis
1559:
1557:
1553:
1552:
1550:
1549:
1544:
1539:
1534:
1532:Blood donation
1529:
1523:
1521:
1517:
1516:
1514:
1513:
1508:
1507:
1506:
1496:
1495:
1494:
1489:
1484:
1479:
1469:
1464:
1463:
1462:
1452:
1446:
1444:
1442:Blood products
1438:
1437:
1428:
1426:
1425:
1418:
1411:
1403:
1397:
1396:
1387:
1386:
1383:
1382:
1371:
1359:
1358:
1356:
1352:
1351:
1348:
1347:
1336:
1325:
1310:
1294:
1289:
1288:
1286:
1285:Classification
1278:
1277:External links
1275:
1272:
1271:
1228:
1187:
1173:
1166:
1123:
1116:
1051:
1044:
1028:Academic Press
973:
921:
920:
918:
915:
914:
913:
908:
903:
896:
893:
880:
877:
872:
869:
865:plasmapheresis
850:antihistamines
836:
833:
816:antihistamines
803:
800:
783:
780:
776:hemoglobinuria
724:
721:
707:
704:
702:
701:
696:
691:
686:
681:
676:
671:
666:
661:
656:
651:
646:
641:
639:cephalosporins
636:
631:
626:
620:
610:
609:
516:
514:
507:
500:
499:
451:
449:
442:
436:
433:
412:
409:
360:
357:
332:
329:
321:blood pressure
297:
296:
290:
280:
274:
267:
264:
249:
246:
230:antihistamines
167:Serum sickness
162:
161:
158:
152:
151:
141:antihistamines
134:
128:
127:
124:
120:
119:
113:antihistamines
109:
105:
104:
91:
85:
84:
77:
71:
70:
64:
60:
59:
50:, joint pain,
45:
39:
38:
33:
27:
26:
25:Serum sickness
18:
15:
13:
10:
9:
6:
4:
3:
2:
2570:
2559:
2556:
2555:
2553:
2534:
2531:
2529:
2526:
2522:
2519:
2517:
2514:
2513:
2512:
2509:
2507:
2504:
2502:
2499:
2498:
2496:
2492:
2486:
2483:
2480:
2479:Latex allergy
2477:
2473:
2470:
2469:
2468:
2465:
2464:
2462:
2458:
2455:
2449:
2439:
2436:
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2348:cell-mediated
2345:
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2318:
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2305:
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2297:
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2287:
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2279:Farmer's lung
2277:
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2259:
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2250:
2236:
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2222:
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2214:
2209:
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2158:
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2110:
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2097:
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2028:
2026:
2023:
2020:
2017:
2015:
2012:
2010:
2007:
2006:
2004:
2000:
1997:
1994:
1989:
1985:
1981:
1977:
1973:
1969:
1962:
1957:
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1950:
1948:
1943:
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1939:
1927:
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1768:
1765:
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1745:
1743:
1742:Chido-Rodgers
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1723:
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1587:
1584:
1582:
1579:
1576:
1575:leukapheresis
1572:
1568:
1564:
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1558:
1554:
1548:
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1435:
1431:
1424:
1419:
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1412:
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1405:
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1395:
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1357:
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1337:
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1320:
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1315:
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1309:
1305:
1304:
1300:
1296:
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1287:
1283:
1276:
1267:
1263:
1259:
1255:
1251:
1247:
1243:
1239:
1232:
1229:
1224:
1220:
1215:
1210:
1207:(5): 647–50.
1206:
1202:
1201:Liver Transpl
1198:
1191:
1188:
1183:
1177:
1174:
1169:
1163:
1159:
1155:
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1147:
1143:
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1128:
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868:
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859:
855:
851:
847:
843:
841:
834:
832:
829:
825:
821:
817:
813:
809:
806:Avoidance of
801:
799:
797:
793:
789:
781:
779:
777:
773:
769:
765:
761:
757:
754:
750:
746:
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734:
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722:
720:
717:
713:
705:
700:
697:
695:
692:
690:
687:
685:
682:
680:
677:
675:
674:streptokinase
672:
670:
667:
665:
662:
660:
657:
655:
652:
650:
647:
645:
642:
640:
637:
635:
632:
630:
627:
625:
622:
621:
619:
617:
606:
603:
595:
584:
581:
577:
574:
570:
567:
563:
560:
556:
553: –
552:
548:
547:Find sources:
541:
537:
533:
527:
526:
522:
517:This section
515:
511:
506:
505:
496:
493:
485:
475:
470:
468:
462:
458:
457:
450:
441:
440:
434:
432:
430:
426:
422:
418:
410:
408:
406:
402:
398:
394:
390:
386:
382:
378:
377:immune system
374:
370:
366:
358:
356:
354:
350:
346:
342:
338:
331:Complications
330:
328:
326:
322:
318:
314:
310:
306:
302:
294:
291:
288:
285:(swelling of
284:
281:
278:
275:
272:
268:
265:
262:
258:
255:
254:
253:
247:
245:
243:
239:
235:
231:
227:
223:
218:
216:
212:
208:
204:
200:
196:
192:
188:
184:
180:
176:
172:
168:
159:
157:
153:
150:
146:
142:
138:
135:
133:
129:
125:
121:
118:
114:
110:
106:
103:
99:
95:
92:
90:
86:
82:
78:
76:
72:
68:
65:
61:
57:
53:
49:
46:
44:
40:
37:
34:
32:
28:
23:
2374:Mantoux test
2303:
2035:Food allergy
1691:
1373:
1362:
1338:
1327:
1312:
1297:
1244:(4): 223–5.
1241:
1237:
1231:
1204:
1200:
1190:
1176:
1145:
1095:
1023:
939:
935:
925:
882:
874:
871:Epidemiology
862:
844:
838:
824:Skin testing
805:
785:
764:urine sample
729:blood sample
726:
709:
679:sulfonamides
664:procainamide
649:griseofulvin
629:barbiturates
613:
598:
589:
579:
572:
565:
558:
546:
530:Please help
518:
488:
479:
472:Please help
464:
453:
429:envenomation
414:
362:
334:
309:splenomegaly
298:
269:joint pain (
251:
219:
209:). The term
166:
165:
69:, some drugs
2025:Anaphylaxis
2021:(Hay fever)
1715:Blood types
1614:Coombs test
1450:Whole blood
1364:MedlinePlus
889:BĂ©la Schick
768:proteinuria
654:penicillins
624:allopurinol
616:medications
476:if you can.
341:myocarditis
319:(decreased
317:hypotension
287:lymph nodes
2494:Autoimmune
2383:Autoimmune
2313:Autoimmune
2156:Autoimmune
2087:Autoimmune
1527:Blood bank
1340:DiseasesDB
917:References
858:Prednisone
854:analgesics
828:Physicians
808:antitoxins
802:Prevention
741:leukopenia
694:infliximab
562:newspapers
421:antitoxins
417:antibodies
397:vasculitis
371:. When an
311:(enlarged
271:arthralgia
242:prednisone
238:analgesics
226:urine test
222:blood test
215:penicillin
187:joint pain
149:prednisone
145:analgesics
132:Medication
108:Prevention
36:Hematology
2164:Cytotoxic
1732:Augustine
1676:reaction
1674:Hemolytic
1563:Apheresis
1455:Platelets
1375:eMedicine
891:in 1906.
840:Antiserum
835:Treatment
772:hematuria
737:platelets
723:Diagnosis
699:oxycodone
689:ibuprofen
684:rituximab
669:quinidine
659:phenytoin
634:captopril
592:June 2022
519:does not
425:infection
373:antiserum
175:antiserum
156:Prognosis
123:Treatment
67:antiserum
31:Specialty
2552:Category
2453:multiple
2451:Unknown/
2253:Type III
2217:receptor
2066:Tree nut
1857:Lutheran
1762:Dombrock
1547:ISBT 128
1380:med/2105
1258:11231202
1223:17377915
1150:Saunders
968:16504095
895:See also
716:vaccines
712:hormones
482:May 2022
454:require
385:antigens
381:proteins
349:pleurisy
337:neuritis
207:type III
171:reaction
43:Symptoms
2460:Foreign
2362:Foreign
2353:T cells
2344:Type IV
2267:Foreign
2142:Foreign
2113:Type II
2056:Seafood
2002:Foreign
1984:allergy
1896:Scianna
1782:Gerbich
1685:delayed
1556:Methods
1334:D012713
1266:7001068
959:1397863
879:History
863:Use of
576:scholar
540:removed
525:sources
456:cleanup
293:malaise
261:redness
2481:(I+IV)
2213:Type V
2051:Peanut
1980:Type I
1807:Indian
1752:Cromer
1747:Colton
1472:Plasma
1369:000820
1264:
1256:
1221:
1164:
1114:
1042:
966:
956:
852:, and
794:, and
706:Others
644:crofab
578:
571:
564:
557:
549:
359:Causes
351:, and
313:spleen
257:rashes
224:and a
193:, and
179:animal
63:Causes
2320:Lupus
2071:Wheat
1988:atopy
1926:Other
1852:Lewis
1842:Knops
1822:KANNO
1767:Duffy
1757:Diego
1680:acute
1595:Tests
1345:11970
1323:999.5
1308:T80.6
1262:S2CID
1100:Mosby
942:: 3.
796:hives
788:lupus
743:(low
735:(low
583:JSTOR
569:books
435:Drugs
277:fever
191:fever
102:hives
94:lupus
52:fever
2521:APS2
2516:APS1
2430:GVHD
2117:ADCC
2046:Milk
1970:and
1906:T-Tn
1891:RHAG
1889:and
1882:Raph
1877:P1PK
1837:Kidd
1827:Kell
1792:GLOB
1777:FORS
1737:CD59
1482:PF24
1432:and
1329:MeSH
1318:9-CM
1254:PMID
1219:PMID
1162:ISBN
1112:ISBN
1040:ISBN
964:PMID
887:and
812:bite
778:).
762:. A
758:and
714:and
555:news
523:any
521:cite
259:and
183:rash
160:good
48:rash
2130:IgM
2125:IgG
2061:Soy
2041:Egg
1993:IgE
1911:Vel
1901:Sid
1867:MNS
1847:Lan
1817:JMH
1787:GIL
1720:ABO
1314:ICD
1299:ICD
1246:doi
1209:doi
1154:doi
1104:doi
1032:doi
954:PMC
944:doi
818:or
739:),
534:by
427:or
315:),
232:or
115:or
2554::
2215:"/
1921:Yt
1916:Xg
1887:Rh
1872:OK
1862:LW
1831:Xk
1812:JR
1802:Ii
1797:Hh
1772:Er
1573:,
1569:,
1378::
1367::
1343::
1332::
1321::
1306::
1303:10
1260:.
1252:.
1240:.
1217:.
1205:13
1203:.
1199:.
1160:.
1148:.
1144:.
1126:^
1110:.
1094:.
1054:^
1038:.
1022:.
976:^
962:.
952:.
938:.
934:.
848:,
798:.
790:,
760:C4
756:C3
407:.
355:.
347:,
343:,
339:,
327:.
307:,
303:,
217:.
189:,
185:,
147:,
143:,
139:,
100:,
96:,
54:,
2355:)
2351:(
2346:/
2260:)
2256:(
2211:"
2115:/
1995:)
1991:(
1986:/
1982:/
1960:e
1953:t
1946:v
1833:)
1829:(
1577:)
1565:(
1422:e
1415:t
1408:v
1316:-
1301:-
1291:D
1268:.
1248::
1242:4
1225:.
1211::
1184:.
1170:.
1156::
1120:.
1106::
1048:.
1034::
970:.
946::
940:6
605:)
599:(
594:)
590:(
580:·
573:·
566:·
559:·
542:.
528:.
495:)
489:(
484:)
480:(
295:.
263:.
205:(
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