IgE against ethylene oxide-altered human serum albumin patients who have had acute dialysis reactions

Leslie C. Grammer*, Mary Roberts, Anthony J. Nicholls, M. M. Platts, Roy Patterson

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

38 Scopus citations

Abstract

Serum samples obtained from seven hemodialysis patients with immediate-type allergic reactions, from six hemodialysis patients without reactions, and from three nonatopic control subjects were analyzed for IgE against human serum albumin exposed to ethylene oxide (ETO-HSA). ETO is used to sterilize medical equipment like dialyzers that cannot withstand heat sterilization. IgE to ETO-HSA, measured by a polystyrene tube technique was found in six of seven dialysis reactor patients but in only one of six nonreactor patients (p < 0.05 two-tailed Fisher's exact test). No control sera from three nonatopic individuals had antibody. The reactor patients had 2.0 ± 8.0 ng (SD) of ETO-HSA bound per milliliter of serum, whereas nonreactor patients had 0.2 ± 8.0 ng per milliliter bound (p < 0.05 one-tailed Student's t test on log transformed values). We suggest that there is an association between the presence of IgE to ETO-HSA and immediate-Type allergic reactions to dialysis in this group of patients.

Original languageEnglish (US)
Pages (from-to)544-546
Number of pages3
JournalThe Journal of allergy and clinical immunology
Volume74
Issue number4 PART 1
DOIs
StatePublished - Oct 1984

ASJC Scopus subject areas

  • Immunology and Allergy
  • Immunology

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