Abstract
Streptokinase is an effective thrombolytic agent used in various thrombotic diseases. Until recently, allergic reactions have not been well characterized. We report the clinical and immunologic correlations of three types of reactions to streptokinase (S) in man. These include IgE antibody to S which mediates anaphylaxis and immediate-type skin reactivity to S. This skin test may be predictive of those at risk for anaphylaxis. IgG antibody and S form antigen-antibody complexes which result in toxic immune complex disease including skin, renal and joint symptoms. This human response simulates the animal model of immune complex disease reported over two decades ago. Lymphocyte mediated reactions include local delayed cutaneous reactions with systemic malaise correlating with in vitro lymphocyte reactions to S. An immune response of rising IgE, immediate-type skin reactivity and rising IgG antibody occurred in two physicians volunteering for skin test analysis to S.
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Selected References
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- Cowley M. J., Hastillo A., Vetrovec G. W., Hess M. L. Effects of intracoronary streptokinase in acute myocardial infarction. Am Heart J. 1981 Dec;102(6 Pt 2):1149–1158. doi: 10.1016/0002-8703(81)90646-3. [DOI] [PubMed] [Google Scholar]
- Järvinen P., Aromaa U., Roiha M., Asp K. Streptokinase and concomitant oral anticoagulants in the treatment of deep venous thrombosis. Klin Wochenschr. 1978 Aug 15;56(16):801–804. doi: 10.1007/BF01489713. [DOI] [PubMed] [Google Scholar]
- Kakkar V. V., Flanc C., O'Shea M. J., Flute P. T., Howe C. T., Clarke M. B. Treatment of deep-vein thrombosis with streptokinase. Br J Surg. 1969 Mar;56(3):178–183. doi: 10.1002/bjs.1800560307. [DOI] [PubMed] [Google Scholar]
- Kohner E. M., Pettit J. E., Hamilton A. M., Bulpitt C. J., Dollery C. T. Streptokinase in central retinal vein occlusion: a controlled clinical trial. Br Med J. 1976 Mar 6;1(6009):550–553. doi: 10.1136/bmj.1.6009.550. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Marbet G. A., Eichlisberger R., Duckert F., Ritz R., da Silva M. A., Biland L., Widmer L. K., Schmitt H. E. Side effects of thrombolytic treatment with porcine plasmin and low dose streptokinase. Thromb Haemost. 1982 Oct 29;48(2):196–200. [PubMed] [Google Scholar]
- Marder V. J., Soulen R. L., Atichartakarn V., Budzynski A. Z., Parulekar S., Kim J. R., Edward N., Zahavi J., Algazy K. M. Quantitative venographic assessment of deep vein thrombosis in the evaluation of streptokinase and heparin therapy. J Lab Clin Med. 1977 May;89(5):1018–1029. [PubMed] [Google Scholar]
- McGrath K. G., Patterson R. Anaphylactic reactivity to streptokinase. JAMA. 1984 Sep 14;252(10):1314–1317. [PubMed] [Google Scholar]
- OUCHTERLONY O. Diffusion-in-gel methods for immunological analysis. Prog Allergy. 1958;5:1–78. [PubMed] [Google Scholar]
- Reichle F. A., Rao N. S., Chang K. H., Marder V., Algazy K. Thrombolysis of acute or subacute nonembolic arterial thrombosis. J Surg Res. 1977 Mar;22(3):202–208. doi: 10.1016/0022-4804(77)90135-4. [DOI] [PubMed] [Google Scholar]
- Sepulveda R., Longbottom J. L., Pepys J. Enzyme linked immunosorbent assay (ELISA) for IgG and IgE antibodies to protein and polysaccharide antigens of Aspergillus fumigatus. Clin Allergy. 1979 Jul;9(4):359–371. doi: 10.1111/j.1365-2222.1979.tb02494.x. [DOI] [PubMed] [Google Scholar]
- Sharma G. V., Cella G., Parisi A. F., Sasahara A. A. Thrombolytic therapy. N Engl J Med. 1982 May 27;306(21):1268–1276. doi: 10.1056/NEJM198205273062105. [DOI] [PubMed] [Google Scholar]
- Straub P. W., Boersma J., Rhyner K., Schihin K. Plasmozytose nach thrombolytischer Therapie mit Streptokinase. Schweiz Med Wochenschr. 1974 Dec 14;104(50):1891–1892. [PubMed] [Google Scholar]
- Totty W. G., Romano T., Benian G. M., Gilula L. A., Sherman L. A. Serum sickness following streptokinase therapy. AJR Am J Roentgenol. 1982 Jan;138(1):143–144. doi: 10.2214/ajr.138.1.143. [DOI] [PubMed] [Google Scholar]
- Voller A., Bidwell D. E., Bartlett A. Enzyme immunoassays in diagnostic medicine. Theory and practice. Bull World Health Organ. 1976;53(1):55–65. [PMC free article] [PubMed] [Google Scholar]
