Related Experiment Video
Updated: Jul 20, 2026

07:49
Measuring Local Anaphylaxis in Mice
Published on: October 14, 2014
[Drug allergy assessed by modified Shelley's test. A case series]
Alejandra Mora Nieto1, Nora Hilda Segura Méndez, Victor Almeida Arvizu
1Departamento de Alergia e Inmunologia Clinica del Hospital de Especialida- des Dr. Bernardo Sepúlveda, Centro Médico Nacional Siglo XX, Avenida Cuauhtémoc 330, colonia Doctores, CP 06720, DF Mexico.
Summary
The Shelley
Area of Science:
- Clinical immunology
- Dermatology
- Pharmacology
Context:
- Drug allergy prevalence is 5-10% in the general population.
- Accurate diagnosis of drug allergy is crucial for patient safety.
- The Shelley's Modified Test is an in vitro diagnostic method for drug allergy.
Purpose:
- To evaluate the frequency of drug allergy using the Shelley's Modified Test.
- To correlate test results with clinical findings in patients diagnosed with drug allergy.
Summary:
- A study of 165 patients diagnosed with drug allergy found 88% positive results with the Shelley's Modified Test.
- Antibiotics were the most common cause of drug allergy, with urticaria being the most frequent clinical manifestation.
- The Shelley's Modified Test is a valuable tool for supporting drug allergy diagnosis, particularly in cases involving antibiotics.
Impact:
- Highlights the utility of the Shelley's Modified Test in clinical practice.
- Identifies key drug classes and clinical presentations associated with drug allergy.
- Informs diagnostic strategies and patient management for suspected drug allergies.
Related Concept Videos
Drug Toxicity: Allergic Reactions
Drug-related allergies are immune-mediated responses triggered by the administration of pharmacological agents. These hypersensitivity reactions are classified based on the immune mechanisms involved. The four primary types—Type I, II, III, and IV—are mediated by different immunological pathways and exhibit distinct clinical manifestations.Type I Hypersensitivity/ IgE-Mediated Reactions: Immunoglobulin E (IgE) immediately mediates Type I hypersensitivity reactions. Upon initial exposure to a...
Allergic Reactions: Anaphylaxis
Anaphylaxis is a severe, life-threatening hypersensitivity reaction mediated by Immunoglobulin E (IgE) antibodies. When IgE binds to allergens, it triggers the release of mediators– histamine, leukotrienes, and prostaglandins from mast cells and basophils. These mediators cause vasodilation, edema, and inflammation, leading to various symptoms.The primary allergens causing anaphylaxis include food items (e.g., peanuts, shellfish), drugs (e.g., penicillin, asparaginase, corticotropin, heparin),...
Allergic Reactions
Overview
Allergic Drug Reactions
Allergic reactions related to drugs are hypersensitivity responses driven by the immune system and bear no connection to the drug's therapeutic action. While drugs in isolation do not trigger an immune response, they can interact with endogenous proteins to form antigens. These antigens stimulate lymphocytes to produce antibodies. IgE-type antibodies attach themselves to mast cells. Upon subsequent exposure to the same stimulus, the antigen-antibody interaction is initiated, unleashing numerous...
Hypersensitivities
Hypersensitivity, also known as a hypersensitivity reaction or allergic reaction, is a condition where the body's immune system reacts abnormally to a foreign substance. Such substances, that cause hypersensitivity are referred to as an allergen, could be something typically harmless to most people, like pollen or certain foods.
Types of Hypersensitivities
Hypersensitivity reactions are categorized into four types: Type 1, Type 2, Type 3, and Type 4. Each type has a distinct mechanism...
Types of Hypersensitivities
Hypersensitivity reactions are categorized into four types: Type 1, Type 2, Type 3, and Type 4. Each type has a distinct mechanism...
Hypersensitivity Reactions: Delayed Hypersensitivity Reactions
Delayed-Type Hypersensitivity (DTH), or Type IV hypersensitivity, is a cell-mediated immune response. It occurs when T cells, rather than antibodies, mediate a reaction to specific antigens. It is characterized by a delayed onset (1-2 days) and involves the recruitment of macrophages to the inflammation site.The initiation of a DTH response begins with the sensitization of T cells. During this phase, which lasts at least 1-2 weeks, antigen-specific T cells are activated, clonally expanded, and...

