PMID- 32009327 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200928 IS - 2092-7355 (Print) IS - 2092-7363 (Electronic) IS - 2092-7355 (Linking) VI - 12 IP - 2 DP - 2020 Mar TI - Delayed-Onset Anaphylaxis Caused by IgE Response to Influenza Vaccination. PG - 359-363 LID - 10.4168/aair.2020.12.2.359 [doi] AB - Influenza vaccine-associated anaphylaxis is a very rare allergic reaction to vaccines, but the most concerning and life-threatening adverse reaction. Although the safety of influenza vaccines has been well documented, occasional cases of anaphylaxis in vaccinated patients have been reported. In this study, we analyzed the immunoglobulin E (IgE) response to whole influenza vaccines in a pediatric case of delayed-onset anaphylaxis after influenza vaccination. The patient showed elevated specific IgE levels against whole influenza vaccines, especially with split virion from egg-based manufacturing process. Specific IgE levels to influenza vaccines showed decreased over. We evaluated a causal relationship between influenza vaccine and anaphylaxis event by enzyme-linked immunosorbent assay. Delayed-onset anaphylaxis after influenza vaccination can occur in children without predisposing allergic diseases. In addition, the results suggested that formulation and production system of influenza vaccines could affect the probability of severe allergic reaction to vaccines. CI - Copyright (c) 2020 The Korean Academy of Asthma, Allergy and Clinical Immunology . The Korean Academy of Pediatric Allergy and Respiratory Disease. FAU - Kim, Min Jung AU - Kim MJ AUID- ORCID: 0000-0002-5634-9709 AD - Department of Pediatrics, Severance Hospital, Institute of Allergy, Institute for Immunology and Immunological Diseases, Brain Korea 21 PLUS Project for Medical Science, Yonsei University College of Medicine, Seoul, Korea. AD - Department of Microbiology and Immunology, Institute for Immunology and Immunological Diseases, Brain Korea 21 PLUS Project for Medical Science, Yonsei University College of Medicine, Seoul, Korea. FAU - Shim, Doo Hee AU - Shim DH AUID- ORCID: 0000-0002-6696-7199 AD - Department of Microbiology and Immunology, Institute for Immunology and Immunological Diseases, Brain Korea 21 PLUS Project for Medical Science, Yonsei University College of Medicine, Seoul, Korea. FAU - Cha, Hye Ran AU - Cha HR AUID- ORCID: 0000-0001-7112-7525 AD - Department of Microbiology and Immunology, Institute for Immunology and Immunological Diseases, Brain Korea 21 PLUS Project for Medical Science, Yonsei University College of Medicine, Seoul, Korea. FAU - Kim, Cheong Bi AU - Kim CB AUID- ORCID: 0000-0002-9791-4639 AD - Department of Microbiology and Immunology, Institute for Immunology and Immunological Diseases, Brain Korea 21 PLUS Project for Medical Science, Yonsei University College of Medicine, Seoul, Korea. FAU - Kim, Soo Yeon AU - Kim SY AUID- ORCID: 0000-0003-4965-6193 AD - Department of Pediatrics, Severance Hospital, Institute of Allergy, Institute for Immunology and Immunological Diseases, Brain Korea 21 PLUS Project for Medical Science, Yonsei University College of Medicine, Seoul, Korea. FAU - Park, Jeon Han AU - Park JH AUID- ORCID: 0000-0001-9604-3205 AD - Department of Microbiology and Immunology, Institute for Immunology and Immunological Diseases, Brain Korea 21 PLUS Project for Medical Science, Yonsei University College of Medicine, Seoul, Korea. FAU - Sohn, Myung Hyun AU - Sohn MH AUID- ORCID: 0000-0002-2478-487X AD - Department of Pediatrics, Severance Hospital, Institute of Allergy, Institute for Immunology and Immunological Diseases, Brain Korea 21 PLUS Project for Medical Science, Yonsei University College of Medicine, Seoul, Korea. FAU - Lee, Jae Myun AU - Lee JM AUID- ORCID: 0000-0002-5273-3113 AD - Department of Microbiology and Immunology, Institute for Immunology and Immunological Diseases, Brain Korea 21 PLUS Project for Medical Science, Yonsei University College of Medicine, Seoul, Korea. jaemyun@yuhs.ac. FAU - Kim, Kyung Won AU - Kim KW AUID- ORCID: 0000-0003-4529-6135 AD - Department of Pediatrics, Severance Hospital, Institute of Allergy, Institute for Immunology and Immunological Diseases, Brain Korea 21 PLUS Project for Medical Science, Yonsei University College of Medicine, Seoul, Korea. kwkim@yuhs.ac. LA - eng PT - Journal Article PL - Korea (South) TA - Allergy Asthma Immunol Res JT - Allergy, asthma & immunology research JID - 101518382 PMC - PMC6997288 OTO - NOTNLM OT - Anaphylaxis OT - delayed hypersensitivity OT - drug hypersensitivity OT - immunoglobulin E OT - influenza OT - vaccination OT - vaccines COIS- There is no financial or other issue that might lead to a conflict of interest. EDAT- 2020/02/06 06:00 MHDA- 2020/02/06 06:01 PMCR- 2020/03/01 CRDT- 2020/02/04 06:00 PHST- 2019/09/11 00:00 [received] PHST- 2019/10/28 00:00 [revised] PHST- 2019/11/08 00:00 [accepted] PHST- 2020/02/04 06:00 [entrez] PHST- 2020/02/06 06:00 [pubmed] PHST- 2020/02/06 06:01 [medline] PHST- 2020/03/01 00:00 [pmc-release] AID - 12.359 [pii] AID - 10.4168/aair.2020.12.2.359 [doi] PST - ppublish SO - Allergy Asthma Immunol Res. 2020 Mar;12(2):359-363. doi: 10.4168/aair.2020.12.2.359.