Table 3.
Characteristics of Patients Having Reactions During Desensitization
Characteristic | No. of Patients, N = 16 (% or SD) |
---|---|
Sex | |
M | 10 (62.5) |
F | 6 (37.5) |
Age | 62.69 ± 12.213 |
Race | |
White | 13 (81.3) |
Black | 3 (18.8) |
Asthma | 4 (25) |
Polyps | 1 (6.3) |
Allergic rhinitis | 2 (12.5) |
Chronic urticaria | 1 (6.3) |
Chronic angioedema | 1 (6.3) |
Reported allergy to other medications | 13 (81.3) |
Initial reaction to ASA involving: | |
Rash or hives | 11 (68.8) |
Angioedema | 12 (75) |
SOB or wheeze | 2 (12.5) |
Time since last reaction, y | |
<1 | 5 (31.3) |
2–5 | 2 (12.5) |
6–10 | 3 (18.8) |
11–20 | 1 (6.3) |
>20 | 2 (12.5) |
DS performed inpatient | 11 (68.8) |
DS performed outpatienta | 5 (31.2) |
On antihistamines, LTRAs, or systemic steroids at time of procedure | 8 (50) |
On β‐blocker at time of procedure | 7 (43.8) |
Reaction time after previous dose, h | 9.8 ± 1.2 |
Reaction before next dose (<20 min) | 5 (31.25) |
Reaction after protocol complete | 7 (43.75) |
Reaction at dose <105 mg | 7 (43.75) |
Protocol require adjustment | 6 (37.5) |
Discharged on ASA | 11 (68.8) |
Still on ASA | 6 (37.5) |
Stop ASA later because of reaction | 1 (6.3) |
Abbreviations: ASA, aspirin; DS, desensitization; F, female; LTRAs, leukotriene antagonists; M, male; SD, standard deviation; SOB, shortness of breath.
One of these patients had initial DS as an outpatient and had a reaction; subsequent protocol as an inpatient was completed with no reaction.