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Cause of tylenol allergy?

Question:
I'm just doing a little investigating about why adults suddenly develop allergies, and in particular, why would someone become allergic to a medication like tylenol later in life after having no prior allergy to tylenol? My mother developed an allergy to tylenol and then to other things, which then developed into accute asthma. Has anyone come across some possible reasons for adults (middle-aged) to develop these allergies? Body chemistry changes? Some outside influence? I mention outside influence because my mother is a nurse and it seemed like some time after she had vaccinations (hepatitis...) for her job she developed these strange allgeries she never had before. I am just guessing here since I'm just starting to look into this.


Answer:
Allergies are considered to be genetic in origin. What happens is that the immune system mistakes a harmless substance (such as pollen) for a deadly germ/virus. Every time you are exposed to a substance there is a chance that you can become allergic to it. Many people can go for years without an allergy becoming apparent then have it suddenly appear. Others can never develop the allergy despite constant exposure. There is no connection between vaccinations and the development of allergies. Here is the short explanation. For one with all the gory details, find a good text on immunology [such as Klein's 'Immunology']: During your entire life, by means of genetic rearrangement, your body makes antigen-binding portions of a wide variety of immunoactive molecules. These antigen-binding proteins 'recognize' the shapes of various molecules. Two molecules with very similar shapes can cause a cross-reaction to occur, so that the antigen-binding protein will recognize both of them. Further, during the genetic rearrangements, refinement and amplification of shape recognition occurs; so that once you have had an original cross-reaction, it is much more probable that you will start to produce antigen-binding proteins highly specific to BOTH molecules. If the antigen binding protein becomes attached to the constant region of an IgE molecule, you then have an allergy antibody to the molecule in question. So, completely without outside influence, one can become allergic to molecules to which one was not previously sensitive. In people with severe allergies or asthma, there seems to be a preference for the production of IgE. Or, as my doctor once put it: The more things to which you are allergic, the more things to which you will be allergic.



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