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Correspondence
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Volume 346:380-381 January 31, 2002 Number 5
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Cephalosporin Allergy

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To the Editor: We make the following observations about the review of cephalosporin allergy by Kelkar and Li (Sept. 13 issue).1 First, anti-cephalosporin IgE antibody assays are available and are used by clinicians in Australasia. Second, specific haptenic determinants involved in hypersensitivity to cephalosporins have been identified.2,3 Some of the cross-reactivity between cephalosporins and penicillin G results from the presence of IgE directed against a group as small as the methylene substituent linking the side chain to the rest of the penicillin molecule.2 Cephalosporins exhibit greater heterogeneity of allergenic determinants than penicillin because of their extra side chain (R2) on . . . [Full Text of this Article]

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