Taxanes are an important class of antineoplastic agents used in the treatment of a wide variety of cancers. However, paclitaxel and docetaxel, which are the most commonly used taxanes, elicit immediate hypersensitivity reactions (HSRs) in 5% to 10% of patients. Almost all patients that experience these reactions can be safely re-exposed to taxanes either through desensitization or challenge. This article describes the clinical presentation, diagnosis, and management of HSRs to taxanes and discusses the different options for their safe readministration.
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Wilford Hall Ambulatory Surg Ctr, Dept Allergy & Immunol, Joint Base San Antonio Lackland, San Antonio, TX 78236 USAWilford Hall Ambulatory Surg Ctr, Dept Allergy & Immunol, Joint Base San Antonio Lackland, San Antonio, TX 78236 USA
Dickson, Scott D.
Salazar, Kimberly C.
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San Antonio Mil Med Ctr, Dept Med, Joint Base San Antonio Ft Sam Houston, San Antonio, TX USAWilford Hall Ambulatory Surg Ctr, Dept Allergy & Immunol, Joint Base San Antonio Lackland, San Antonio, TX 78236 USA
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Boston Childrens Hosp, Div Immunol, Boston, MA USA
Harvard Med Sch, Boston Childrens Hosp, Dept Pharm, Boston, MA USABoston Childrens Hosp, Div Immunol, Boston, MA USA
Dilley, Meredith A.
Lee, Joyce P.
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Boston Childrens Hosp, Div Immunol, Boston, MA USABoston Childrens Hosp, Div Immunol, Boston, MA USA
Lee, Joyce P.
Broyles, Ana Dioun
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Boston Childrens Hosp, Div Immunol, Boston, MA USA
Harvard Med Sch, Boston Childrens Hosp, Dept Pharm, Boston, MA USABoston Childrens Hosp, Div Immunol, Boston, MA USA
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Sir Charles Gairdner Hosp, Dept Immunol, Perth, WA, Australia
Univ Western Australia, Med Sch, Perth, WA, Australia
Fiona Stanley Hosp, Dept Med Oncol, Perth, WA, AustraliaSir Charles Gairdner Hosp, Dept Immunol, Perth, WA, Australia
Grover, Piyush
Krummenacher, Matthew
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Sir Charles Gairdner Hosp, Dept Immunol, Perth, WA, AustraliaSir Charles Gairdner Hosp, Dept Immunol, Perth, WA, Australia
Krummenacher, Matthew
Loy, Timothy
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Sir Charles Gairdner Hosp, Dept Immunol, Perth, WA, AustraliaSir Charles Gairdner Hosp, Dept Immunol, Perth, WA, Australia
Loy, Timothy
Nowak, Anna K.
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Univ Western Australia, Med Sch, Perth, WA, AustraliaSir Charles Gairdner Hosp, Dept Immunol, Perth, WA, Australia
Nowak, Anna K.
Lucas, Michaela
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Sir Charles Gairdner Hosp, Dept Immunol, Perth, WA, Australia
Univ Western Australia, Med Sch, Perth, WA, Australia
Perth Childrens Hosp, Dept Immunol, Perth, WA, Australia
PathWest, Perth, WA, AustraliaSir Charles Gairdner Hosp, Dept Immunol, Perth, WA, Australia