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Serum sickness

MedGen UID:
11390
Concept ID:
C0036830
Disease or Syndrome
Synonyms: Serum Sickness; Serum Sicknesses; Sickness, Serum; Sicknesses, Serum
SNOMED CT: Transfusion reaction due to serum protein reaction (72284000); Protein sickness (72284000); Intoxication by serum (72284000); Serum reaction (72284000); Serum rash (213323001); Urticaria caused by serum (213325008); Serum sickness due to transfusion (72284000)
 
Monarch Initiative: MONDO:0043789

Definition

Delayed-type hypersensitivity reaction to foreign proteins derived from an animal serum. It occurs approximately six to twenty one days following the administration of the foreign antigen. Symptoms include fever, arthralgias, myalgias, skin eruptions, lymphadenopathy, chest pain, and dyspnea. Certain drugs (e.g., antibiotics, anticancer agents, and anti-inflammatory medications) and infectious disorders (e.g., hepatitis B) may also cause serum sickness-like reaction. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVSerum sickness

Professional guidelines

PubMed

Chen M, Liu Q, Gao Y, Suo X, Ding X, Wang L, Li L, Shao Y, Gao D, Sun W, Tan Y, Wang W, Ye F, Han B
Eur J Haematol 2023 Sep;111(3):407-413. Epub 2023 Jun 4 doi: 10.1111/ejh.14021. PMID: 37271577
Stroud CR, Hegde A, Cherry C, Naqash AR, Sharma N, Addepalli S, Cherukuri S, Parent T, Hardin J, Walker P
J Oncol Pharm Pract 2019 Apr;25(3):551-557. Epub 2017 Dec 5 doi: 10.1177/1078155217745144. PMID: 29207939
Nelson BK
Med Toxicol Adverse Drug Exp 1989 Jan-Feb;4(1):17-31. doi: 10.1007/BF03259900. PMID: 2468987

Recent clinical studies

Etiology

Abouyannis M, Esmail H, Hamaluba M, Ngama M, Mwangudzah H, Mumba N, Yeri BK, Mwalukore S, Alphan HJ, Aggarwal D, Alcoba G, Cammack N, Chippaux JP, Coldiron ME, Gutiérrez JM, Habib AG, Harrison RA, Isbister GK, Lavonas EJ, Martins D, Ribeiro I, Watson JA, Williams DJ, Casewell NR, Walker SA, Lalloo DG; Snakebite Global Core Outcome Set Study Group
Lancet Glob Health 2023 Feb;11(2):e296-e300. doi: 10.1016/S2214-109X(22)00479-X. PMID: 36669810
Perota A, Galli C
Front Immunol 2019;10:2396. Epub 2019 Oct 15 doi: 10.3389/fimmu.2019.02396. PMID: 31681287Free PMC Article
Heliopoulos I, Patousi A
Med Chem 2018 Feb 6;14(2):144-154. doi: 10.2174/1573406413666170906121828. PMID: 28875861
Hansel TT, Kropshofer H, Singer T, Mitchell JA, George AJ
Nat Rev Drug Discov 2010 Apr;9(4):325-38. Epub 2010 Mar 22 doi: 10.1038/nrd3003. PMID: 20305665
Vermeire S, Van Assche G, Rutgeerts P
Best Pract Res Clin Gastroenterol 2009;23(1):101-12. doi: 10.1016/j.bpg.2008.12.005. PMID: 19258190

Diagnosis

Dilley M, Geng B
Clin Rev Allergy Immunol 2022 Jun;62(3):463-475. Epub 2021 Dec 15 doi: 10.1007/s12016-021-08878-x. PMID: 34910281Free PMC Article
Guvenir H, Arikoglu T, Vezir E, Misirlioglu ED
Curr Pharm Des 2019;25(36):3840-3854. doi: 10.2174/1381612825666191107162921. PMID: 31696807
Khan DA, Banerji A, Bernstein JA, Bilgicer B, Blumenthal K, Castells M, Ein D, Lang DM, Phillips E
J Allergy Clin Immunol Pract 2019 Sep-Oct;7(7):2105-2114. doi: 10.1016/j.jaip.2019.06.001. PMID: 31495420Free PMC Article
Sala-Cunill A, Luengo O, Cardona V
Curr Opin Allergy Clin Immunol 2019 Oct;19(5):439-446. doi: 10.1097/ACI.0000000000000550. PMID: 31169597
Grammer L
Clin Rev Allergy 1986 May;4(2):189-200. doi: 10.1007/BF02991108. PMID: 2421863

Therapy

Dilley M, Geng B
Clin Rev Allergy Immunol 2022 Jun;62(3):463-475. Epub 2021 Dec 15 doi: 10.1007/s12016-021-08878-x. PMID: 34910281Free PMC Article
Sala-Cunill A, Luengo O, Cardona V
Curr Opin Allergy Clin Immunol 2019 Oct;19(5):439-446. doi: 10.1097/ACI.0000000000000550. PMID: 31169597
Karmacharya P, Poudel DR, Pathak R, Donato AA, Ghimire S, Giri S, Aryal MR, Bingham CO 3rd
Semin Arthritis Rheum 2015 Dec;45(3):334-40. Epub 2015 Jun 26 doi: 10.1016/j.semarthrit.2015.06.014. PMID: 26199061
Hansel TT, Kropshofer H, Singer T, Mitchell JA, George AJ
Nat Rev Drug Discov 2010 Apr;9(4):325-38. Epub 2010 Mar 22 doi: 10.1038/nrd3003. PMID: 20305665
Grammer L
Clin Rev Allergy 1986 May;4(2):189-200. doi: 10.1007/BF02991108. PMID: 2421863

Prognosis

Guvenir H, Arikoglu T, Vezir E, Misirlioglu ED
Curr Pharm Des 2019;25(36):3840-3854. doi: 10.2174/1381612825666191107162921. PMID: 31696807
Khan DA, Banerji A, Bernstein JA, Bilgicer B, Blumenthal K, Castells M, Ein D, Lang DM, Phillips E
J Allergy Clin Immunol Pract 2019 Sep-Oct;7(7):2105-2114. doi: 10.1016/j.jaip.2019.06.001. PMID: 31495420Free PMC Article
Stroud CR, Hegde A, Cherry C, Naqash AR, Sharma N, Addepalli S, Cherukuri S, Parent T, Hardin J, Walker P
J Oncol Pharm Pract 2019 Apr;25(3):551-557. Epub 2017 Dec 5 doi: 10.1177/1078155217745144. PMID: 29207939
Burke RJ, Chang C
Autoimmun Rev 2014 Apr-May;13(4-5):503-7. Epub 2014 Jan 11 doi: 10.1016/j.autrev.2014.01.036. PMID: 24424191
De Heer E, Sijpkens YW, Verkade M, den Dulk M, Langers A, Schutrups J, Bruijn JA, van Es LA
Nephrol Dial Transplant 2000;15 Suppl 6:72-3. doi: 10.1093/ndt/15.suppl_6.72. PMID: 11143998

Clinical prediction guides

Jackson K, Bahna SL
Expert Rev Clin Immunol 2020 Mar;16(3):311-319. Epub 2020 Feb 8 doi: 10.1080/1744666X.2020.1724089. PMID: 31994421
Khan DA, Banerji A, Bernstein JA, Bilgicer B, Blumenthal K, Castells M, Ein D, Lang DM, Phillips E
J Allergy Clin Immunol Pract 2019 Sep-Oct;7(7):2105-2114. doi: 10.1016/j.jaip.2019.06.001. PMID: 31495420Free PMC Article
Schellekens H
Biotechnol Annu Rev 2008;14:191-202. doi: 10.1016/S1387-2656(08)00007-0. PMID: 18606364
De Heer E, Sijpkens YW, Verkade M, den Dulk M, Langers A, Schutrups J, Bruijn JA, van Es LA
Nephrol Dial Transplant 2000;15 Suppl 6:72-3. doi: 10.1093/ndt/15.suppl_6.72. PMID: 11143998
Grubb R, Grubb A, Kjellén L, Lycke E, man P
Exp Clin Immunogenet 1999;16(1):1-7. doi: 10.1159/000019089. PMID: 10087399

Recent systematic reviews

Abouyannis M, Esmail H, Hamaluba M, Ngama M, Mwangudzah H, Mumba N, Yeri BK, Mwalukore S, Alphan HJ, Aggarwal D, Alcoba G, Cammack N, Chippaux JP, Coldiron ME, Gutiérrez JM, Habib AG, Harrison RA, Isbister GK, Lavonas EJ, Martins D, Ribeiro I, Watson JA, Williams DJ, Casewell NR, Walker SA, Lalloo DG; Snakebite Global Core Outcome Set Study Group
Lancet Glob Health 2023 Feb;11(2):e296-e300. doi: 10.1016/S2214-109X(22)00479-X. PMID: 36669810
Griese SE, Kisselburgh HM, Bartenfeld MT, Thomas E, Rao AK, Sobel J, Dziuban EJ
Clin Infect Dis 2017 Dec 27;66(suppl_1):S17-S29. doi: 10.1093/cid/cix812. PMID: 29293924
Karmacharya P, Poudel DR, Pathak R, Donato AA, Ghimire S, Giri S, Aryal MR, Bingham CO 3rd
Semin Arthritis Rheum 2015 Dec;45(3):334-40. Epub 2015 Jun 26 doi: 10.1016/j.semarthrit.2015.06.014. PMID: 26199061
Iudici M, van der Goes MC, Valentini G, Bijlsma JW
Clin Exp Rheumatol 2013 Mar-Apr;31(2 Suppl 76):157-65. Epub 2013 Jul 23 PMID: 23910618
Isbister GK, Gray MR, Balit CR, Raven RJ, Stokes BJ, Porges K, Tankel AS, Turner E, White J, Fisher MM
Med J Aust 2005 Apr 18;182(8):407-11. doi: 10.5694/j.1326-5377.2005.tb06760.x. PMID: 15850438

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