RT Journal Article SR Electronic T1 Acute allergic reaction and demonstration of specific IgE antibodies against alpha-1-protease inhibitor JF European Respiratory Journal JO Eur Respir J FD European Respiratory Society SP 996 OP 997 DO 10.1183/09031936.98.12040996 VO 12 IS 4 A1 Meyer, FJ A1 Wencker, M A1 Teschler, H A1 Steveling, H A1 Sennekamp, J A1 Costabel, U A1 Konietzko, N YR 1998 UL http://erj.ersjournals.com/content/12/4/996.abstract 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.