PMID- 26120528 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220318 IS - 2197-0378 (Print) IS - 2197-0378 (Electronic) IS - 2197-0378 (Linking) VI - 23 IP - 5 DP - 2014 TI - Cellular in vitro diagnosis of adverse drug reactions. PG - 164-171 AB - Adverse drug reactions can manifest clinically in a variety of ways. Whilst the majority can be explained by dose-dependent side effects, there is group of unpredictable immunological or non-immunological intolerances that represent a particular diagnostic challenge. Skin tests are frequently negative, whilst challenge tests are time-consuming and often hazardous. Against this backdrop, cellular in vitro tests play a particularly important role in the identification of the causative drug. Whilst basophil tests can be used in the case of immunoglobulin E (IgE)- as well as non-IgE-mediated hypersensitivity reactions, T-cellular test methods assist in the diagnosis of drug eruptions. The reliability of individual tests can be affected by a variety of parameters, such as the pathomechanism underlying the drug reaction, the causative medication, or the point in time of testing. Not only is a sound knowledge of the basic principles of the individual assays an essential prerequisite for correctly indicating and interpreting this test method, but also an awareness of these additional factors. FAU - Mobs, Christian AU - Mobs C AD - Department of Dermatology and Allergology, Allergy Center Hessen, Philipps University Marburg, Marburg, Germany. FAU - Pfutzner, Wolfgang AU - Pfutzner W AD - Department of Dermatology and Allergology, Allergy Center Hessen, Philipps University Marburg, Marburg, Germany ; Clinical & Experimental Allergy, Allergy Center Hessen, Department of Dermatology and Allergology, Philipps-University Marburg, Baldingerstrasse, 35043 Marburg, Germany. LA - eng PT - Journal Article PT - Review DEP - 20140807 PL - Germany TA - Allergo J Int JT - Allergo journal international JID - 101659261 PMC - PMC4479488 OTO - NOTNLM OT - Basophils OT - Drug allergy OT - In vitro tests OT - T-lymphocytes EDAT- 2014/01/01 00:00 MHDA- 2014/01/01 00:01 PMCR- 2015/06/24 CRDT- 2015/06/30 06:00 PHST- 2014/01/14 00:00 [received] PHST- 2014/05/08 00:00 [accepted] PHST- 2015/06/30 06:00 [entrez] PHST- 2014/01/01 00:00 [pubmed] PHST- 2014/01/01 00:01 [medline] PHST- 2015/06/24 00:00 [pmc-release] AID - 20 [pii] AID - 10.1007/s40629-014-0020-6 [doi] PST - ppublish SO - Allergo J Int. 2014;23(5):164-171. doi: 10.1007/s40629-014-0020-6. Epub 2014 Aug 7.