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Introduction - Uppsala Monitoring Centre

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disease has disappeared and this seems the strongest evidence that<br />

the cause was mercury in teething powders. (The causes of Pink<br />

disease by Diane Farnsworth)<br />

(http://www.pinkdisease.org/causePD.htm).Accessed 9th April 2013<br />

1905 A patient with severe rheumatism was given 15 gr. Aspirin and after<br />

2 days there was violent palpitations, difficult respiration, extreme<br />

weakness, approaching unconsciousness and the voiding of green<br />

urine. There was a positive rechallenge (Barnett, 1905). There was<br />

little published in the Lancet between 1900 and 1910 on the ADRs of<br />

Aspirin, but one noted originally in a French paper was an account of<br />

unpleasant symptoms caused by the new synthetic substance<br />

Aspirin: some cases of gastric pain, vomiting, giddiness, painful<br />

oedema of the eyelids and the lips extending at times to the head<br />

and to the mucous membranes of the pharynx. A single case of a<br />

scarlatinform rash was also reported plus a case of epistaxis (Notes,<br />

Lancet, 1905).<br />

Aspirin-induced fixed drug eruption with a positive rechallenge was<br />

reported (Freund, 1905).<br />

Aspirin goes on sale in the UK on 30 th October 1905.<br />

The American Medical Association organised ‘The Council on<br />

Pharmacy and Chemistry’, which evaluated new drugs and reevaluated<br />

old drugs.<br />

Pirquet and Scich gave the first detailed description of serum<br />

sickness (fever, lymphadenopathy, cutaneous eruptions and<br />

arthralgias) caused by diphtheria antitoxin in 1905 (Pirquet & Scich,<br />

1905). They defined it as ‘specific acquired reactivity which follows<br />

initial response to foreign protein.’.<br />

1906 The Pure Food and Drugs Act (USA) concerned labelling and<br />

prohibited interstate commerce in adulterated food and drugs. This<br />

had been prompted by the popular press protesting against ‘filthy<br />

conditions in Chicago’s packing plants’ and ‘nostrums laden with<br />

arsenic and other harmful ingredients, the unfounded cures for<br />

cancer, TB, syphilis, narcotic addiction and a host of other serious as<br />

well as self-limited disease’. (FDA, 2006). Drugs had either to abide<br />

by standards of purity and quality set forth in the US Pharmacopoeia<br />

and the National Formulary, or meet individual standards chosen by<br />

their manufacturers and stated on their labels. Proprietary drug<br />

manufacturers and business lobbies kept the food bill from becoming<br />

law earlier (Young, 1981).<br />

Clemens Von Pirquet coined the term ‘allergy’ (Von Pirquet, 1906).

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