To the Editor: Milgrom et al. (Dec. 23 issue)1 report on thetreatment of allergic asthma with monoclonal IgE antibody. Ithas generally been accepted that IgE has a central role in thepathogenesis of anaphylaxis, allergic rhinitis, and asthma.However, several recent studies seem to question this concept.
Although the role of IgE has been best characterized in thepathogenesis of anaphylaxis and allergic rhinitis, acute anaphylaxisafter allergen sensitization has been reported in the absenceof IgE in laboratory animals.2 Casale et al.3 demonstrated thatuse of humanized anti-IgE monoclonal antibody in ragweed-sensitivepatients with allergic rhinitis, both . . . [Full Text of this Article]
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