European Journal of Dermatology. Vol. 13,
Issue 1, January - February 2003: 10-5, Review articles
Summary: Allergic and pseudo-allergic reactions
to vaccines frequently involve the skin, and can be
generalized systemic symptoms (urticaria/angioedema,
serum sickness, flares of eczema) or localized at the
sites of vaccination (persistent nodules, abcesses,
granulomas). Diagnosis of Arthus-type reactions is based
on clinical history and specific IgM/IgG anti-toxoid
determination. For other local reactions, diagnostic
value of non-immediate responses in skin tests varies
with clinical symptoms and substances involved.
Immediate responses in skin tests and specific IgE
determination have good diagnostic and/or predictive
value in anaphylaxis and immediate/accelerated
urticaria/angioedema to toxoid-, pneumococcus-, and egg-
and gelatin-containing vaccines. Diagnosis of reactions
to dextran in BCG is based on specific IgM/IgG
determination. Most non-immediate generalized reactions
result from non-specific inflammation, except for
gelatin-containing vaccines, but the diagnostic value of
immuno-allergological tests with the vaccines and
gelatin are controversial. Withholding booster
injections is advised if specific IgM/IgG levels are
high. If the levels are low, sequential injections of
vaccines containing a single vaccinating agent are
usually tolerated. However, injections of the vaccine
should be performed using a " desensitization "
procedure in patients reporting anaphylaxis and
immediate/accelerated urticaria/angioedema.
Author(s): Claude
PONVERT, Pierre SCHEINMANN
Keywords: Allergy to
vaccines, dextran, gelatin, ovalbumin, pneumococcal
vaccine, toxoids, skin tests, specific IgE, specific
IgG.
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MATERIAL CONTAINED, PRESENTED, OR PROVIDED HERE IS FOR GENERAL INFORMATION
PURPOSES ONLY AND IS NOT TO BE CONSTRUED AS REFLECTING THE KNOWLEDGE OR OPINIONS
OF THE PUBLISHER, AND IS NOT TO BE CONSTRUED OR INTENDED AS PROVIDING MEDICAL OR
LEGAL ADVICE. THE DECISION WHETHER OR NOT TO VACCINATE IS AN IMPORTANT AND
COMPLEX ISSUE AND SHOULD BE MADE BY YOU, AND YOU ALONE, IN CONSULTATION WITH
YOUR HEALTH CARE PROVIDER.
"A foolish faith in authority is the worst enemy of truth."
-- Albert Einstein, letter to a friend, 1901
"I know of no safe depository of the ultimate powers of the society but the people themselves, and if we think them not enlightened enough to exercise control with a wholesome discretion, the remedy is not to take it from them, but to inform their discretion by education."
-- Thomas Jefferson, letter to William C. Jarvis, September 28, 1820
Sandy's Scandals Column
Past and current Scandals
- columns by Sandy Gottstein (aka Mintz)*
* ►February 8, 2010 - Inovio
Biomedical Cervical Cancer Therapeutic Vaccine Generates Dose-Related
Immune Response in Clinical Trial - Inovio via BusinessWire
via Technology Marketing Corporation - "VGX-3100 is a DNA vaccine
targeting the E6 and E7 proteins of human papillomavirus (HPV) types 16
and 18 and is delivered via in vivo electroporation. Similar to
previously reported data from the initial lowest dose cohort of this
phase I trial, the vaccine was found to be generally safe and well
tolerated. While previously reported data showed significant cellular
and humoral immune responses, data from this second, intermediate dose
group highlighted a significantly increased and dose-related immune
response specific to the antigens targeted by the vaccine."..."While
recent HPV preventive vaccines have been successful in protecting
against infections that may lead to cervical cancer, Inovio's
therapeutic vaccine targets the millions of women already infected with
HPV and is intended to treat pre-cancerous cells and cervical cancer
caused by this virus. Current vaccines do not serve this group of
women," Dr. Kim added."
* ►February 6, 2010 - Autism
Findings Retracted
- The New American - "Actress Holly Robinson Peete remembers, 'When my
son was two-and-a-half, he was just recovering from an ear infection
and had been on antibiotics, therefore his immune system was
suppressed. He had already missed several appointments for his
vaccination so his pediatrician wanted to catch him up on all of them
in the same day. Althrough I asked if he’d consider waiting or breaking
up the cocktail, which contains three viruses, he laughed me out of the
office and belittled me. I firmly believe that it took my son to a
place of no return and his body could not handle it. He had a violent
reaction with convulsions and then he stopped talking and slipped into
a silence. He no longer said, 'Hi, Mommy,' he no longer responded to
his name and he no longer made eye contact.”