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Table 11-1

Immunologically Mediated Drug Reactions

Type of ReactionRepresentative ExamplesMechanism
Anaphylactic (type 1)Anaphylaxis
Urticaria
Angioedema
IgE-mediated degranulation of mast cells with resultant mediator release
Cytotoxic (type 2)Autoimmune hemolytic anemia
Interstitial nephritis
IgG or IgM antibodies against cell antigens and complement activation
Immune complex (type 3)Serum sickness
Vasculitis
Immune complex deposition and subsequent complement activation
Cell mediated (type 4)Contact dermatitis
Photosensitivity dermatitis
Activated T cells against cell surface–bound antigens