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. 2015 Apr 21;7(4):312–320. doi: 10.4168/aair.2015.7.4.312

Table 2. Classification of NSAID-induced hypersensitivity reactions.

Type of Reaction Name of reaction Abbreviation Definition Previously used names
Cross-reactive - non allergic (Non-immunologically mediated reactions) NSAIDs exacerbated respiratory disease NERD Reaction manifesting primarily as bronchial obstruction, dyspnea and nasal congestion/rhinorrhea, occurring in patients with an underlying chronic airway respiratory disease (asthma/rhinosinusitis/nasal polyps). aspirin triad, asthma triad, Samter's syndrome, Widal syndrome, aspirin-induced asthma or aspirin-sensitive rhinosinusits/asthma syndrome, aspirin-intolerant asthma, aspirin-exacerbated respiratory disease
NSAIDs exacerbated cutaneous disease NECD Reaction manifesting as wheals and/or angioedema occurring in patients with a history of chronic spontaneous urticaria. aspirin-induced urticaria; aspirin-exacerbated cutaneous disease
NSAIDs induced urticaria-angioedema NIUA Reaction manifesting as wheals and/or angioedema occurring in otherwise healthy subjects (without history of chronic spontaneous urticaria). Symptoms are induced by at least two NSAIDs with different chemical structure (not belonging to the same chemical group). aspirin-induced urticaria; multiple drug-induced urticarial angioedema
Selective-allergic (Immunologically mediated reactions) Single NSAID-induced urticaria/angioedema or anaphylaxis SNIUAAA Immediate hypersensitivity reactions to a single NSAID or to several NSAIDs belonging to the same chemical group, manifesting as urticaria, angioedema and/or anaphylaxis. These subjects tolerate other chemically non-related NSAIDs, and usually do not have a history of chronic urticaria or asthma. single drug-induced reactions, allergic reactions
NSAIDs-induced delayed hypersensitivity reactions NIDHR Reactions to a single NSAID developing more than 24 hours after drug administration and manifesting by either skin symptoms (exanthema, fixed drug eruption), other organ specific symptoms (e. g. renal, pulmonary) or severe cutaneous adverse reactions (SCAR).