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. 2021 Dec 4;77(7):2200–2210. doi: 10.1111/all.15183

TABLE 2.

Parameters indicative of PEG allergy in patients in our study and comparison to a review and a large case series in the literature

Parameter PEG allergy in this study Wenande et al. 1 Bruusgaard et al. 6
Gender (f/m) 7/3 14/23 6/4
Age (y: median, range) 38.5 (12–77) 24–86 35 (18–64)
Time interval a (min) 18.5 (4–30) “Rapid in onset within minutes” <10 min
Elicitors b (n)

Laxatives/bowel preparations (3)

Analgetic tablets (2)

Injectable contraceptive (2)

Antibiotic tablets/sirup (2)

Calcium or vitamin effervescent tablet (2)

Cold medicine lozenge/syrup (2)

Injectable corticosteroid (1)

Iodine solutions (1)

Chlorhexidine disinfectant (1)

Laxatives/bowel preparations 20/37 (54%), corticosteroids, vitamins/minerals, throat lozenges, ultrasound gels, disinfectants, antiepileptics, antiemetics, anticoagulants,

antidepressants, analgesics, antibiotics, anti‐inflammatory drugs, reflux medication toothpaste, dental floss, creams, shampoos, paint, wound dressings, tissue sealants, hydrogels

Oral medication (analgesics, antacids, antibiotic tablets)

Injections

Laxatives

Cough medicine

Cream/ointment, shaving products, hand soap, toothpaste, mouth wash, dental floss, hair products (shampoo, coloring), make‐up, make‐up remover, vaseline, epoxy, cleaning agent

Patients >1 reaction n (%) 4 (40) 16 (43) 7 (70)
Severe anaphylaxis c n (%) 2 (13) 14 (38) 8 (80)
Anaphylaxis n (%) 15 (100) 28 (78) 8 (80)
Urticaria b n (%) 14 (93) 44 (66) ns
Skin/mucosal reaction b n (%) 15 (100) 62 (92) ns
Most frequent symptoms b n (%) Generalized skin reaction 15 (100), dyspnea 6 (60), angioedema 3 (20) Pruritus, tingling, flushing, urticaria, angioedema, hypotension, and bronchospasm Urticaria, itching, flushing, discomfort, angioedema, breathlessness, burning sensation, and fainting

Abbreviation: ns, not specified.

a

Time interval from exposure to reaction.

b

Individual episodes counted separately.

c

Severe anaphylaxis according to Ring and Messmer grades III and IV.