Table 2.
Characteristics of patients who developed anaphylaxis with rhGAA and underwent RDD
| Case no. | Age at development of anaphylaxis, months | Present age, months | Initial reaction, signs, and symptoms | Type of anaphylaxis | Anaphylaxis developing dose | Administered dose and frequency when anaphylaxis develops | Infusion rate of developing anaphylaxis, mg/kg/min | RDD starting dose | RDD time, h | RDD performed, n |
|---|---|---|---|---|---|---|---|---|---|---|
| 1 | 7 | 122 | Urticaria, irritability, intractable cough, itching, stridor | Type I IgE mediated | 11th | 20 mg/kg Biweekly | 0.016 | 1/1,000,000 | 11.7 | 264 |
|
| ||||||||||
| 2 | 5 | 34 | Irritability, tachypnea, desaturation, cyanosis, fever, urticaria | Mixed type | 8th | 40 mg/kg Biweekly | 0.116 | 1/500,000 | 19.6 | 56 |
|
| ||||||||||
| 3 | 48 | 72 | Abdominal pain, recurrent vomiting, intractable cough | Type I IgE/non-IgE mediated | 86th | 40 mg/kg Biweekly | 0.041 | 1/648,000 | 9.4 | 39 |
|
| ||||||||||
| 4 | 49 | 62 | Urticaria, angioedema, tachypnea, cyanosis | Type I IgE/non-IgE mediated | 10th | 40 mg/kg Weekly | 0.083 | 1/560,000 | 12 | 31 |
rhGAA, recombinant alglucosidase alfa; RDD, rapid drug desensitization.