Four patients with hypersensitivity reaction to carboplatin of variable sev
erity, after previous uneventful cisplatin and carboplatin treatment, are d
escribed. Skin testing performed in two of the patients suggests a cross-re
action with cisplatin but was negative with carboplatin in one of them. The
mechanism of hypersensitivity reaction to carboplatin is poorly understood
and the issue of retreatment with carboplatin is controversial. Physicians
should be aware of the possible hypersensitivity reaction to carboplatin a
nd appropriate precautions should be taken.