PT - JOURNAL ARTICLE AU - Meyer, FJ AU - Wencker, M AU - Teschler, H AU - Steveling, H AU - Sennekamp, J AU - Costabel, U AU - Konietzko, N TI - Acute allergic reaction and demonstration of specific IgE antibodies against alpha-1-protease inhibitor AID - 10.1183/09031936.98.12040996 DP - 1998 Oct 01 TA - European Respiratory Journal PG - 996--997 VI - 12 IP - 4 4099 - http://erj.ersjournals.com/content/12/4/996.short 4100 - http://erj.ersjournals.com/content/12/4/996.full SO - Eur Respir J1998 Oct 01; 12 AB - A 44 yr-old female with severe pulmonary emphysema and reduced alpha-1-protease inhibitor (alpha1-PI) serum levels developed an acute anaphylactic reaction following the third intravenous infusion of human alpha1-PI which was administered to prevent the progression of pulmonary emphysema. Specific immunoglobulin E-antibodies against human alpha1-PI could be demonstrated in the patient's serum using an enzyme allergosorbent test. Because of the risk of further severe anaphylactic reaction, the replacement therapy with alpha1-PI was discontinued. Physicians should be aware of this rare complication.