Table 1

Presence of anti-microsomal protein antibodies in sera of patients with a clinical history consistent with delayed-onset sulfonamide hypersensitivity reactions

PatientNegative55 kDa80 kDa96 kDaSulfonamide exposureTime to sample collection1-a
Group IIA
1++SMX-TMP1-b 5  mo
3+SMX-TMP5 yr
131-e ++SMX-TMP4 weeks
14+SMX-TMP>1 yr
15++SMX-TMP1 yr
16+++SMX-TMP4 mo
17+SSX-ERY1-c 1 mo
18+SMX-TMP1 yr
19+++“Sulfa”1-d 11 mo
451-f ++++SMX-TMP4 mo
461-g ++SMX-TMP3 mo
50+SMX-TMP1 yr
51++SMX-TMP1 yr
52+SMX-TMP4 yr
531-h +++SMX-TMP7 weeks
Group IIB
5++“Sulfa”Not known
7+++SMX-TMP3 mo
24+“Sulfa”3 yr
27+“Sulfa”Not known
36+Trisulfaminic3 weeks
48++“Sulfa”2 mo
  • 1-a Time from clinical adverse event and discontinuation of sulfonamide administration to collection of sample.

  • 1-b Sulfamethoxazole-trimethoprim.

  • 1-c Sulfisoxazole acetyl/erythromycin.

  • 1-d Unspecified sulfonamide antimicrobial.

  • 1-e Also had antibodies recognizing all SMX-modified proteins, including the 45- to 55-kDa, 96-kDa, 100-kDa and 150-kDa proteins, as a result of recognition of the SMX hapten; see text for details.

  • 1-f Also had antibodies against a 54-kDa protein.

  • 1-g Also had antibodies against a 30-kDa protein.

  • 1-h Also had anti-thyroid peroxidase antibodies.