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Updated: May 13, 2026

Measuring Local Anaphylaxis in Mice
Published on: October 14, 2014
Anaphylaxis to etanercept in two children with juvenile idiopathic arthritis
Courtney B Crayne1, Kerstin Gerhold, Randy Q Cron
1School of Medicine, University of Alabama, Birmingham, AL, USA.
Abstract:
Anti-tumor necrosis factor α (TNFα) medications have revolutionized the care of children and adults with chronic arthritis. They are quick acting, highly effective, and remarkably safe, particularly in children with juvenile idiopathic arthritis (JIA). Anti-TNFα agents come in 2 basic varieties: monoclonal antibodies to TNFα (e.g., infliximab, adalimumab) and a fusion protein containing a TNF receptor (etanercept). Although hypersensitivity reactions are not uncommon with some of the TNFα antibodies (e.g., infliximab), there are only rare reports of anaphylaxis to subcutaneous injections of etanercept in adults with rheumatoid arthritis. Herein, we report 2 cases of anaphylaxis in children with JIA after etanercept injections. Although rare, pediatricians need to be aware of this potentially dangerous occurrence.
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