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Table 1 Results and characteristics of the 14 patients with HSR from the retrospective cohort and the 11 patients from the prospective cohort. In bold, positive results for each test

From: Validation of an anti-α-Gal IgE fluoroenzyme-immunoassay for the screening of patients at risk of severe anaphylaxis to cetuximab

Case

Gender

Age (years)

HSR delay after cetuximab infusion (min)

Severity grade a

Increased tryptaseb and/or histamine

ELISA (cut-off > 29 EAU)

FEIA (cut-off ≥ 0.35 kUA/L)

Retrospective cohort results

 P1

M

57

15

1

ND

147

< 0.1

 P2

F

43

15

1

ND

80

< 0.1

 P3

M

58

ND

2

no

3

0.52

 P4

M

60

40

2

yes

45

0.72

 P5

F

54

ND

2

ND

5

< 0.1

 P6

M

79

20

2

ND

16

< 0.1

 P7

M

64

5

3

yes

70

0.53

 P8

F

54

5

3

yes

42

0.73

 P9

M

59

5

3

yes

105

1.12

 P10

M

53

25

3

yes

15

1.80

 P11

M

62

15

3

yes

31

3.34

 P12

M

64

10

3

ND

60

< 0.1

 P13

M

60

10

4

ND

40

2.40

 P14

M

69

5

4

ND

> 3000

22.6

Prospective cohort results

 P15

M

73

35

1

ND

9

< 0.1

 P16

M

55

25

2

ND

2.5

0.53

 P17

M

74

15

2

ND

39

0.23

 P18

M

48

15

2

yes

35

< 0.1

 P19

M

65

30

2

yes

4

< 0.1

 P20

F

60

15

3

yes

134

6.93

 P21

M

50

15

3

ND

490

3.53

 P22

M

56

20

3

no

55

0.23

 P23

M

68

40

3

yes

15

< 0.1

 P24

F

81

ND

3

no

< 3

< 0.1

 P25

M

81

< 1

4

ND

480

5.63

  1. Abbreviations: EAU IgE Arbitrary Units, ELISA Enzyme Linked Immunosorbent Assay, F Female, FEIA Fluoroenzyme-Immunoassy, HSR Hypersensitivity reaction, M Male, min minutes, ND Not determined, P Patient
  2. a Ring and Messmer scale [18].
  3. b Increased tryptase defined as ≥ 1.2 basal value + 2 µg.L-1 [19].