title: [Infusion reaction and anaphylaxis].
abstract: Infusion reactions and allergic reactions are common side effects of anti-cancer drugs, and are known as hypersensitivity reactions. Patients with these severe reactions require close attention because these reactions sometimes lead to critical conditions. Infusion reactions are caused by cytokine release, although the precise mechanisms involved are still obscure. Infusion reactions are often caused by rituximab, an anti-CD20 antibody, and other monoclonal antibodies. Allergic reactions, mediated by IgE, are observed with a variety of chemotherapeutic drugs, especially platinum compounds and taxanes. An acute severe allergic reaction is called anaphylaxis, and is often fatal unless treated appropriately. In this review, we describe the prevention of hypersensitivity reactions and their treatment based on our clinical experience.
authors.affiliation: Dept. of Clinical Oncology, Tohoku University Hospital, Japan.
authors.forename: Kozue
authors.initials: K
authors.lastname: Yoshida
authors.forename: Masatoshi
authors.initials: M
authors.lastname: Shiono
authors.forename: Chikashi
authors.initials: C
authors.lastname: Ishioka
mesh_terms: D000707:Anaphylaxis / Q000139:chemically induced / Q000628:therapy*; D000906:Antibodies / Q000008:administration & dosage / Q000009:adverse effects / Q000627:therapeutic use; D000970:Antineoplastic Agents / Q000008:administration & dosage / Q000009:adverse effects* / Q000627:therapeutic use; D004342:Drug Hypersensitivity / Q000628:therapy*; D006801:Humans; D009369:Neoplasms / Q000188:drug therapy
chemical_list: D000906:Antibodies; D000970:Antineoplastic Agents