Category:CTCAE4 Immune system disorders

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Adverse Event Grade1 Grade2 Grade3 Grade4 Grade5
Allergic reaction Transient flushing or rash, drug fever <38 degrees C (<100.4 degrees F); intervention not indicated Intervention or infusion interruption indicated; responds promptly to symptomatic treatment (e.g., antihistamines, NSAIDS, narcotics); prophylactic medications indicated for <=24 hrs Prolonged (e.g., not rapidly responsive to symptomatic medication and/or brief interruption of infusion); recurrence of symptoms following initial improvement; hospitalization indicated for clinical sequelae (e.g., renal impairment, pulmonary infiltrates) Life-threatening consequences; urgent intervention indicated Death
Anaphylaxis - - Symptomatic bronchospasm, with or without urticaria; parenteral intervention indicated; allergy-related edema/angioedema; hypotension Life-threatening consequences; urgent intervention indicated Death
Autoimmune disorder Asymptomatic; serologic or other evidence of autoimmune reaction, with normal organ function; intervention not indicated Evidence of autoimmune reaction involving a non-essential organ or function (e.g., hypothyroidism) Autoimmune reactions involving major organ (e.g., colitis, anemia, myocarditis, kidney) Life-threatening consequences; urgent intervention indicated Death
Cytokine release syndrome Mild reaction; infusion interruption not indicated; intervention not indicated Therapy or infusion interruption indicated but responds promptly to symptomatic treatment (e.g., antihistamines, NSAIDS, narcotics, IV fluids); prophylactic medications indicated for <=24 hrs Prolonged (e.g., not rapidly responsive to symptomatic medication and/or brief interruption of infusion); recurrence of symptoms following initial improvement; hospitalization indicated for clinical sequelae (e.g., renal impairment, pulmonary infiltrates) Life-threatening consequences; pressor or ventilatory support indicated Death
Immune system disorders - Other, specify Asymptomatic or mild symptoms; clinical or diagnostic observations only; intervention not indicated Moderate; minimal, local or noninvasive intervention indicated; limiting age-appropriate instrumental ADL Severe or medically significant but not immediately life-threatening; hospitalization or prolongation of existing hospitalization indicated; disabling; limiting self care ADL Life-threatening consequences; urgent intervention indicated Death
Serum sickness Asymptomatic; clinical or diagnostic observations only; intervention not indicated Moderate arthralgia; fever, rash, urticaria, antihistamines indicated Severe arthralgia or arthritis; extensive rash; steroids or IV fluids indicated Life-threatening consequences; pressor or ventilatory support indicated Death
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