← Return to Autoimmune disease induced by allergen specific immunotherapy.

Discussion
Comment receiving replies
@sueinmn

Can you explain exactly what tests should be performed prior to beginning allergy shots to avoid the problem you have?
I know that people with beta-blockers, MAOI's rheumatoid arthritis and uncontrolled asthma are not candidates for these injections. So a comprehensive medical history is important. But I have been unable to find literature about blood tests that could be routinely performed in advance.
Would taking your medical history have led the allergist to avoid shots for you based on your known health conditions or family history?
Sue

Jump to this post


Replies to "Can you explain exactly what tests should be performed prior to beginning allergy shots to avoid..."

In the published case "Manifestation of rheumatoid arthritis during subcutaneous allergen-specific immunotherapy" by Kamran Ghoreschi, MD it is mentioned:

However, the observation by Linneberg et al1 was focused on the overall incidence of AD and not on the actual coincidence of SCIT and AD during SCIT."

Our observation of 1 patient with SCIT and concomitant AD suggests that careful history and even autoantibody testing before SCIT might be helpful in selected patients to identify those at risk for AD during SCIT.

In general, the benefit/risk ratio in patients with venom allergy favors induction of SCIT, and further investigations will be necessary to be able to evaluate the risk for AD during SCIT.

For its part, another study titled Autoimmune thyroiditis detected during allergen-specific immunotherapy: a case report

A 14-year-old girl diagnosed with asthma who developed findings of autoimmune thyroiditis and goiter four months after SIT with grass pollen antigens is presented to emphasize the possibility of autoimmune disease development during the course of SIT and the need for further research about this coexistence. .

The reports indicate that a prior evaluation must be had for each person.

The negligence of this allergist is also partly due to the fact that since my childhood I had a significant health history and he knew it, and he simply started the immunotherapy without any prior evaluation.

We can see reviews of this allergist, named Guillerm, on Google and it seems that I have not been the only one who has treated him in a negligent manner.

I can quote you a review from a person in google:

"I took my baby for a checkup with him because I suspected an allergy. At first I received a lecture that my baby is sick because of me, and that I was "carbureting" too much. According to him, he checked my baby and told me he had an infection and prescribed an antibiotic. My baby had severe diarrhea two days later and the doctor just told me to stop the antibiotic. Without any follow-up from this doctor, I took my baby to a pediatrician and they confirmed that my baby does not have an infection and should never have been given antibiotics. This doctor is not qualified to see babies, please don't make the same mistake as me. Unfortunately, she tells me that my baby is not allergic and she didn't even do any tests."

More than a controversy, my main concern is to try to prevent this situation from continuing to happen, since in the end I have not been the only one who has gone through this, and one thing is certain, my illness began 20 years ago, but the people who suffer We suffer from an autoimmune disease day by day, my kidney function falls more every day until I wait for a transplant.

I believe that with a little caution on the part of allergists, tragedies like mine and those of other people can be avoided.