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Similar Publications

Background: Serum sickness-like reaction (SSLR) is an adverse reaction mainly to drugs/infectious agents/ vaccines, characterized by the presence of rash, arthralgia/arthritis and occasionally fever.

Objective: This systematic review aimed to analyze the clinical characteristics, implicated agents, symptomatology, and management of SSLR.

Methods: A systematic review was conducted following PRISMA guidelines.

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Serum sickness-like reactions in children - is lifelong avoidance indicated?

J Allergy Clin Immunol Pract

February 2025

Division of Pediatric Allergy Clinical Immunology and Dermatology, Department of Pediatrics, Montreal Children's Hospital, McGill University Health Center, Montreal, Quebec, Canada.

Serum sickness-like reactions (SSLR) consist of urticaria or urticarial-like rashes with joint pain and variable features of fever, angioedema and gastrointestinal distress. Allergists typically evaluate patients in the clinic for an implicated medication, such as antibiotic or vaccine. Although SSLR may be mistaken for classical serum sickness or anaphylaxis due to overlapping clinical features, there is minimal evidence for type I or type III hypersensitivity reactions.

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