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Table 3 Patients with positive challenge

From: A retrospective comparison of false negative skin test rates in penicillin allergy, using pencilloyl-poly-lysine and minor determinants or Penicillin G, followed by open challenge

Patient

Age

Sex

Reaction

SPT/ID done

Challenge to

Challenge reaction

1

31

F

Pruritus and facial rash, hand swelling, dyspnea

SPT/ID-PPL, MDM, AMP

PenV

Pruritus, heavy chest, arm rash

2

42

F

Pruritic rash, throat itch

SPT/ID-PPL, MDM

PenV

Generalized pruritus

3

38

F

Rash

SPT/ID-PPL, MDM

Pen V

Next morning facial swelling—inconclusive

4

19

F

Urticaria

SPT/ID-PPL, MDM

PenV

Maculopapular rash forearm and hand, nasal and throat pruritus. Delayed -> non IgE mediated penicillin allergy

5

40

F

Angioedema tongue

SPT/ID-PPL, MDM

PenV

Pruritus, eye swelling

6

50

F

Urticaria

SPT-PPL, MDM

PenV

n/a

7

57

F

Shortness of breath

SPT-PPL, MDM

PenV

Pruritus, nausea—inconclusive

8

30

F

Rash

SPT/ID-PPL, MDM

PenV

Lip tingling, pruritic macular rash on chest, facial and back pruritus

9

47

F

Unknown, previous +

ID-PPL, PG

PenV

Throat sensation—inconclusive

10

50

F

Hives

ID-PPL, PG, AMP

PenV

Erythematous pruritus, palmar erythema

11

72

M

Rash

ID-PPL, PG, AMP

Amox

Delayed pruritic rash

12

32

F

Pruritus, hives, throat closing, lip swelling, paraesthesia

ID-PPL, PG, AMP

Amox

Pruritus to back and arms