PMID- 8752627 OWN - NLM STAT- MEDLINE DCOM- 19961127 LR - 20190707 IS - 0015-0282 (Print) IS - 0015-0282 (Linking) VI - 66 IP - 1 DP - 1996 Jul TI - Use of recombinant human follicle-stimulating hormone for in vitro fertilization-embryo transfer after severe systemic immunoglobulin E-mediated reaction to urofollitropin. PG - 148-50 AB - OBJECTIVE: To report the successful use of recombinant human FSH in a patient with a history of a severe systemic immunoglobulin E (IgE)-mediated reaction to urofollitropin. SETTING: University hospital. PATIENT: A 38-year-old infertility patient who had experienced a whole-body rash with hives, tachycardia, fever, and other symptoms after urofollitropin administration, with confirmation of IgE-mediated sensitivity to urofollitropin by intradermal skin testing. INTERVENTION: In vitro fertilization-ET after the use of recombinant human FSH to stimulate ovarian follicular development. RESULTS: Establishment of a clinical pregnancy. CONCLUSIONS: Our case provides evidence for the involvement of nongonadotropin proteins as the direct cause of some adverse reactions from conventional urine-derived human FSH preparations. FAU - Phipps, W R AU - Phipps WR AD - Department of Obstetrics-Gynecology, University of Rochester, New York 14642, USA. FAU - Holden, D AU - Holden D FAU - Sheehan, R K AU - Sheehan RK LA - eng PT - Case Reports PT - Journal Article PL - United States TA - Fertil Steril JT - Fertility and sterility JID - 0372772 RN - 0 (Recombinant Proteins) RN - 37341-29-0 (Immunoglobulin E) RN - 9002-68-0 (Follicle Stimulating Hormone) SB - IM MH - Adult MH - Drug Hypersensitivity/*immunology MH - *Embryo Transfer MH - Female MH - *Fertilization in Vitro MH - Follicle Stimulating Hormone/*immunology/*therapeutic use/urine MH - Humans MH - Immunoglobulin E/*immunology MH - Pregnancy MH - Recombinant Proteins EDAT- 1996/07/01 00:00 MHDA- 1996/07/01 00:01 CRDT- 1996/07/01 00:00 PHST- 1996/07/01 00:00 [pubmed] PHST- 1996/07/01 00:01 [medline] PHST- 1996/07/01 00:00 [entrez] AID - S0015-0282(16)58403-9 [pii] AID - 10.1016/s0015-0282(16)58403-9 [doi] PST - ppublish SO - Fertil Steril. 1996 Jul;66(1):148-50. doi: 10.1016/s0015-0282(16)58403-9.