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Successful desensitization of Pegvaliase (Palynziq®) in a patient with phenylketonuria
Pegvaliase (Palynziq®) was FDA approved in 2018 as an enzyme substitution therapy in patients with Phenylketonuria. However, various drug induced hypersensitivity adverse events (HAEs) have been reported. We present a case of Pegvaliase (Palynziq®) induced anaphylaxis and successful desensitization....
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7063228/ https://www.ncbi.nlm.nih.gov/pubmed/32181140 http://dx.doi.org/10.1016/j.ymgmr.2020.100575 |
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author | Patrawala, Meera Kuruvilla, Merin Li, Hong |
author_facet | Patrawala, Meera Kuruvilla, Merin Li, Hong |
author_sort | Patrawala, Meera |
collection | PubMed |
description | Pegvaliase (Palynziq®) was FDA approved in 2018 as an enzyme substitution therapy in patients with Phenylketonuria. However, various drug induced hypersensitivity adverse events (HAEs) have been reported. We present a case of Pegvaliase (Palynziq®) induced anaphylaxis and successful desensitization. A 13-step desensitization protocol was performed using three solution concentrations of Palynziq with premedication of diphenhydramine and prednisone in an outpatient setting. The patient tolerated the desensitization and was able to continue Palynziq. |
format | Online Article Text |
id | pubmed-7063228 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-70632282020-03-16 Successful desensitization of Pegvaliase (Palynziq®) in a patient with phenylketonuria Patrawala, Meera Kuruvilla, Merin Li, Hong Mol Genet Metab Rep Short Communication Pegvaliase (Palynziq®) was FDA approved in 2018 as an enzyme substitution therapy in patients with Phenylketonuria. However, various drug induced hypersensitivity adverse events (HAEs) have been reported. We present a case of Pegvaliase (Palynziq®) induced anaphylaxis and successful desensitization. A 13-step desensitization protocol was performed using three solution concentrations of Palynziq with premedication of diphenhydramine and prednisone in an outpatient setting. The patient tolerated the desensitization and was able to continue Palynziq. Elsevier 2020-03-06 /pmc/articles/PMC7063228/ /pubmed/32181140 http://dx.doi.org/10.1016/j.ymgmr.2020.100575 Text en http://creativecommons.org/licenses/by/4.0/ This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Short Communication Patrawala, Meera Kuruvilla, Merin Li, Hong Successful desensitization of Pegvaliase (Palynziq®) in a patient with phenylketonuria |
title | Successful desensitization of Pegvaliase (Palynziq®) in a patient with phenylketonuria |
title_full | Successful desensitization of Pegvaliase (Palynziq®) in a patient with phenylketonuria |
title_fullStr | Successful desensitization of Pegvaliase (Palynziq®) in a patient with phenylketonuria |
title_full_unstemmed | Successful desensitization of Pegvaliase (Palynziq®) in a patient with phenylketonuria |
title_short | Successful desensitization of Pegvaliase (Palynziq®) in a patient with phenylketonuria |
title_sort | successful desensitization of pegvaliase (palynziq®) in a patient with phenylketonuria |
topic | Short Communication |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7063228/ https://www.ncbi.nlm.nih.gov/pubmed/32181140 http://dx.doi.org/10.1016/j.ymgmr.2020.100575 |
work_keys_str_mv | AT patrawalameera successfuldesensitizationofpegvaliasepalynziqinapatientwithphenylketonuria AT kuruvillamerin successfuldesensitizationofpegvaliasepalynziqinapatientwithphenylketonuria AT lihong successfuldesensitizationofpegvaliasepalynziqinapatientwithphenylketonuria |