Systemic Allergic Reactions to Subcutaneous Allergen Immunotherapy—A Single-Center Experience
Abstract
1. Introduction
2. Materials and Methods
2.1. Patients
2.2. SCIT
2.3. Clinical and Imunological Parameters
2.4. Statistical Analysis
3. Results
3.1. Patient, SCIT and Systemic Reaction Characteristics
3.2. Factors Associated with Reaction Severity
3.3. Comparation of Immunological Parameters According to Clinical Characteristics
3.4. Predictors of Severe Systemic Reactions
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Grade | |
---|---|
1 | Symptom(s) and/or sign(s) of one organ system present: generalized pruritus, urticaria with and/or without angioedema (not laryngeal, tongue, or uvular); ORupper respiratory symptoms (e.g., rhinitis or itchy throat or cough originate in the upper airway); OR conjunctival symptoms; OR nausea |
2 | Symptom(s) and/or sign(s) of more than one organ system present; OR asthma that responds to an inhaled bronchodilator; OR gastrointestinal symptoms, including abdominal cramps, vomiting, or diarrhea; OR uterine cramps |
3 | Lower respiratory—severe asthma that does not respond to a bronchodilator; OR upper respiratory-laryngeal, uvular, or tongue edema, with or without stridor |
4 | Respiratory failure OR hypotension with or without loss of consciousness |
5 | Fatal anaphylaxis |
Previous reactions | n (%) |
Previous adverse reaction to SCIT | 8 (30.8) |
- Local reactions | 6 (23.1) |
- Systemic reactions | 2 (7.7) |
Previous anaphylaxis | 0 (0) |
SCIT characteristics | n (%) |
Single-allergen treatment | 12 (46.2) |
Multiple-allergen treatment | 14 (53.8) |
- two allergens | 7 (26.9) |
- three allergens | 6 (23.1) |
- four allergens | 1 (3.8) |
Type of administered allergen extract | |
- weed pollen mix | 15 (57.7) |
- grass pollen mix | 14 (53.8) |
- tree pollen mix | 3 (11.5) |
- HDMs | 12 (46.2) |
- insect venoms | 2 (7.7) |
Build-up phase | 16 (61.5) |
Maintenance phase | 10 (38.5) |
SR Characteristics | n (%) |
---|---|
Time of onset | |
- Early onset (≤30 min) | 23 (88.5) |
- Delayed onset (>30 min) | 3 (11.5) |
Most frequently reported symptoms | |
- Cutaneous | 21 (80.8) |
Respiratory | 15 (57.7) |
Epinephrine administration | |
- Yes | 20 (76.9) |
- No | 6 (23.1) |
Severity (WAO SR Grading System) | |
- Grade 1 | 8 (30.8) |
- Grade 2 | 11 (42.3) |
- Grade 3 | 4 (15.4) |
- Grade 4 (life-threatening) | 3 (11.5) |
- Grade 5 (fatal outcome) | 0 (0) |
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Kusić, N.; Plavšić, A.; Đurić, V.; Bolpačić, J.; Stošović, R.; Dimitrijević, M.; Spirić-Milovančević, J.; Oštrić Pavlović, I.; Veličković, A.; Tomić-Spirić, V. Systemic Allergic Reactions to Subcutaneous Allergen Immunotherapy—A Single-Center Experience. Life 2025, 15, 1527. https://doi.org/10.3390/life15101527
Kusić N, Plavšić A, Đurić V, Bolpačić J, Stošović R, Dimitrijević M, Spirić-Milovančević J, Oštrić Pavlović I, Veličković A, Tomić-Spirić V. Systemic Allergic Reactions to Subcutaneous Allergen Immunotherapy—A Single-Center Experience. Life. 2025; 15(10):1527. https://doi.org/10.3390/life15101527
Chicago/Turabian StyleKusić, Nataša, Aleksandra Plavšić, Vojislav Đurić, Jasna Bolpačić, Rajica Stošović, Milan Dimitrijević, Jelena Spirić-Milovančević, Irena Oštrić Pavlović, Antonije Veličković, and Vesna Tomić-Spirić. 2025. "Systemic Allergic Reactions to Subcutaneous Allergen Immunotherapy—A Single-Center Experience" Life 15, no. 10: 1527. https://doi.org/10.3390/life15101527
APA StyleKusić, N., Plavšić, A., Đurić, V., Bolpačić, J., Stošović, R., Dimitrijević, M., Spirić-Milovančević, J., Oštrić Pavlović, I., Veličković, A., & Tomić-Spirić, V. (2025). Systemic Allergic Reactions to Subcutaneous Allergen Immunotherapy—A Single-Center Experience. Life, 15(10), 1527. https://doi.org/10.3390/life15101527