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The approach to patients with drug allergies Masaya HIBINO 1 , Norimichi UENISHI 1 1Department of General Internal Medicine & Emergency Medicine Fujita Health University pp.263-281
Published Date 2021/4/1
DOI https://doi.org/10.11477/mf.3102200858
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Drugs can cause adverse drug reactions (ADRs) and hypersensitivity reactions (HSRs) depending on the mechanism. Although these are distinct reactions, they are often grouped together as “drug allergies” in daily practice. “Drug allergies” in a patient's medical record are often misrepresented, to the detriment of the patient. It must be kept in mind that it takes much more effort to remove a mislabeled allergy in the record than it does to register a drug allergy. The first thing to do in evaluating potential drug allergies is to ask, “Is it really an allergy?” If you suspect that the patient is actually allergic to a drug, stratify the risk by asking detailed questions about the patient's background, relationship of the reaction to other drugs, symptoms, relationship with time, and nature and type of treatment. One can then use direct administration, skin tests, or other methods to further evaluate the allergy according to the risk.


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電子版ISSN 2186-7852 印刷版ISSN 1883-4833 メディカル・サイエンス・インターナショナル

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