Table 1.
Classification of drug allergies
Type of immune response | Physiopathology | Main clinical symptoms | Chronology (after the drug) |
IgE mediated | Mast cell, basophil degranulation | Anaphylaxis, angioedema, urticaria, rhinitis, asthma | within 6 hours after the last intake |
IgG and complement | IgG and complement-Dependent cytotoxicity | Cytopenia | 5-15 days after the start |
IgM or IgG and complement or FcR | Deposition of immune complexes | Vaculitis, Serum sickness | 7-21 days after the start 7-8 days after the start |
Th1 (IFN-γ) | Monocytes inflammation | Dermatitis | within 21 days after the start |
Th2 (IL-4 and IL-5) | Eosinophilic inflammation | Maculopapular exanthema DRESS | several days after the start 2-6 weeks after the start |
Cytotoxic T cells (perforin, granzyme B, FasL) | Keratinocyte death mediated by CD4 or CD8 | SJS/TEN | 4-28 days after the start |
T cells (IL-8/CXCL8) exanthematous pustulosis | Neutrophil inflammation | Acute generalized | 1 to several days |