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Correspondence
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Volume 358:1515-1517 April 3, 2008 Number 14
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Platelet-Activating Factor, PAF Acetylhydrolase, and Anaphylaxis

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 by Vadas, P.
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To the Editor: Vadas et al. (Jan. 3 issue)1 report platelet-activating factor (PAF) and PAF acetylhydrolase levels in patients with anaphylaxis.1 But why did the investigators not measure tryptase levels and correlate findings with PAF levels? Tryptase levels are the standard for understanding mast-cell activation in anaphylaxis and can be measured within 1 to 2 hours after its onset. This is an important consideration when a patient is in unstable condition2 and is important with PAF's short half-life. On the basis of the authors' suggestion that blocking PAF may alter clinical outcomes, it is important to correlate PAF levels temporally . . . [Full Text of this Article]




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