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Serum sickness information


Serum sickness
SpecialtyHematology
Symptomsrash, joint pain, fever, lymphadenopathy (swelling of lymph nodes)
Causesantiserum, some drugs
Diagnostic methodsymptoms, blood test (low cell counts and complement protein counts), urine test
Differential diagnosislupus, erythema multiforme, hives
Preventionnot using antitoxins, prophylactic antihistamines or corticosteroids
Treatmentresolves spontaneously
Medicationcorticosteroids, antihistamines, analgesics, prednisone
Prognosisgood

Serum sickness in humans is a reaction to proteins in antiserum derived from a non-human animal source, occurring 5–10 days after exposure. Symptoms often include a rash, joint pain, fever, and lymphadenopathy. It is a type of hypersensitivity, specifically immune complex hypersensitivity (type III). The term serum sickness–like reaction (SSLR) is occasionally used to refer to similar illnesses that arise from the introduction of certain non-protein substances, such as penicillin.[1]

Serum sickness may be diagnosed based on the symptoms, and using a blood test and a urine test. It may be prevented by not using an antitoxin derived from animal serum, and through prophylactic antihistamines or corticosteroids. It usually resolves naturally, but may be treated with corticosteroids, antihistamines, analgesics, and (in severe cases) prednisone. It was first characterized in 1906.

  1. ^ Brucculeri M, Charlton M, Serur D (2006). "Serum sickness-like reaction associated with cefazolin". BMC Clin Pharmacol. 6: 3. doi:10.1186/1472-6904-6-3. PMC 1397863. PMID 16504095.

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It is given by injection. Side effects may be severe. They include serum sickness, shortness of breath, and allergic reactions including anaphylaxis....

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urticaria, serum sickness-like reactions with rashes, fever and arthralgia, and anaphylaxis. The frequency and severity of serum sickness-like reactions...

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Type III hypersensitivity

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know is derived from experimental models of the Arthus reaction and serum sickness. These models support that Fc receptors play a dominant role in the...

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Antitoxin

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human or other animal, inducing temporary passive immunity. To prevent serum sickness, it is often best to use an antitoxin obtained from the same species...

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during the treatment, some patients develop serum sickness or immune complex glomerulonephritis. Serum sickness arises seven to fourteen days after the therapy...

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Granulomatosis with polyangiitis Polyarteritis nodosa Henoch–Schönlein purpura Serum sickness Giant cell arteritis, Temporal arteritis Takayasu's arteritis Behçet's...

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Penicillin

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colitis. Penicillin can also induce serum sickness or a serum sickness-like reaction in some individuals. Serum sickness is a type III hypersensitivity reaction...

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no better than placebo", and in light of a risk of anaphylaxis and serum sickness, "routine use of the antivenom is therefore not recommended". Before...

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ideation Parkinsonism Restlessness Seizures A condition similar to serum sickness Stevens Johnson syndrome Syncope Twitching Urinary frequency Urinary...

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dehydration – Studies by Walder concluded that decompression sickness could be reduced in aviators when the serum surface tension was raised by drinking isotonic saline...

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polymerase. Antidouble-stranded DNA autoantibodies are likely to be present in serum.[citation needed] Diseases that are often in the differential include: Eosinophilia...

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Diphtheria antitoxin

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injection into a vein or muscle. Side effects are common. They include serum sickness and allergic reactions including anaphylaxis. Diphtheria antitoxin is...

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Botulism

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horse-derived antitoxin is sometimes avoided for fear of infants developing serum sickness or lasting hypersensitivity to horse-derived proteins. To avoid this...

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Serpentine fibula-polycystic kidney syndrome Sertoli cell-only syndrome Serum sickness–like reaction Setleis syndrome Severe acute respiratory syndrome Shaken...

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Atopy

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Reactive arthritis Farmer's lung Post-streptococcal glomerulonephritis Serum sickness Arthus reaction Autoimmune Lupus Subacute bacterial endocarditis Rheumatoid...

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Schizophrenia No consistent evidence of association with autoimmunity. Serum sickness A hypersensitivity. Spondyloarthropathy No consistent evidence of association...

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for tetanus prophylaxis as part of wound management. Serum sickness Injections répétées de serum du cheval chez le lapin, Comptes rendus des séances de...

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shortness of breath skin rash, hives irregular breathing anaphylaxis serum sickness seizures laryngeal edema tooth discoloration erythema multiforme vertigo...

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