Table 3.
Clinical characteristics of patients who had a history of NSAID-induced anaphylactic reactions.
| Diagnosis | Baseline tryptase | Total IgE | NSAID trigger | Clinical symptoms | |
|---|---|---|---|---|---|
| Patient nr 1 | ISM | 13 ng/ml | 43 kU/L | Diclofenac | RESP, cutaneous (angioedema) |
| Patient nr 2 | ISM | 34 ng/ml | 8 kU/L | Diclofenac | Cutaneous, CARDV, GI |
| Patient nr 3 | ISM | 11 ng/ml | 22 kU/L | Diclofenac | Cutaneous, SYNC |
| Patient nr 4 | MMAS | 21 ng/ml | 96 kU/L | Uncertain (ibuprofen and paracetamol in combination) | Cutaneous, RESP, SYNC |
| Patient nr 5 | ISM | 30 ng/ml | n/a | Nimesulide | Dyspnea, loss of consciousness |
| Patient nr 6 | ISM | 21 ng/ml | n/a | Nimesulide | Pruritus in hand palms and feet, urticaria, dyspnea, SYNC |
| Patient nr 7 | MMAS | 14 ng/ml | n/a | Ibuprofen | Dyspnea, tachycardia, hypotension, vertigo, SYNC |
| Patient nr 8 | ISM | 25 ng/ml | n/a | Nimesulide | Angioedema, dyspnea, hypotension |
| Patient nr 9 | ISM | 20 ng/ml | n/a | Diclofenac | Nausea, vomiting, diarrhea, fatigue, dyspnea |
| Patient nr 10 | MMAS | 56 ng/ml | n/a | Ibuprofen | Urticaria, hypotension |
| Patient nr 11 | MMAS | 19 ng/ml | 50 kU/L | Diclofenac | Dyspnea, hypotension, SYNC, urticaria |
Abbreviations: NSAID, non-steroidal anti-inflammatory drug; ISM, indolent systemic mastocytosis; MMAS, monoclonal mast cell activation syndrome; SYNC, syncope; CARDV, cardiovascular; RESP, respiratory; GI, gastrointestinal.