Diagnostic issues in pediatric drug allergy

Jean Christoph Caubet, Philippe A. Eigenmann

Research output: Contribution to journalReview articlepeer-review

14 Scopus citations


Purpose of review The serious health hazards posed by drug allergies have long been recognized and are commonly encountered in daily pediatric practice. Our general lack of knowledge of the pathomechanims greatly hampers our ability to correctly diagnose allergic drug reactions. The present review addresses the most recent literature regarding the diagnosis of allergy for the most commonly implicated drugs in children, that is, antibiotics, nonsteroidal anti-inflammatory drugs (NSAID) and vaccines. Recent findings Systematic approaches have been proposed and, if implemented, will likely reduce the number of children being inappropriately labeled as 'drug allergic'. In case of suspicion of an allergy, a complete allergy work-up should always be performed. This evaluation based on carefully selected diagnostic tests will differ according to the drug involved and the mechanisms suspected. The drug provocation test remains the gold standard and has gained in importance, particularly in children presenting with a benign rash while taking antibiotic treatment. Several new diagnostic tools are currently under investigation and provide promising results. Summary Accurate diagnosis of drug allergy is important not only to prevent serious or even life-threatening reactions, but also to avoid unnecessary drug restriction associated with increased resistance and healthcare costs.

Original languageEnglish
Pages (from-to)341-347
Number of pages7
JournalCurrent Opinion in Allergy and Clinical Immunology
Issue number4
StatePublished - Aug 2012
Externally publishedYes


  • Allergy
  • Antibiotics
  • Drugs
  • Nonsteroidal anti-inflammatory drugs
  • Vaccine


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