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  Authority of Polish Society of Allergology

vol 16. no 4. December 2011  

 Review articles
Hymenoptera venom allergy with special emphasis on honeybee (apis mellifera) – current knowledge
Joanna Matysiak, Jan Matysiak, Zenon J. Kokot, Anna Bręborowicz

Allergic reactions after sting of Hymenoptera are one of the most
common forms of anaphylaxis. Allergic symptoms after an insect sting
can be either local or general and anaphylactic shock may occur. The
proper diagnosis of allergy to hymenoptera venom (including the risk
factors of its occurrence) is crucial for further therapy. The routine tests
used in the diagnosis of allergy to hymenoptera venom are: skin tests
and determination of serum IgE antibodies level. However there are
already newer diagnostic methods such as determination of serum
tryptase levels, which precisely allows defining the risk of severe allergic
reaction. In selected cases the treatment of choice is specific venom
immunotherapy (VIT). Patients with severe systemic reaction after the
sting and the positive results of diagnostic tests (positive skin tests
and/or positive tests for specific IgE) are qualified to VIT.

keywords: alergia, owady błonkoskrzydłe, jad pszczeli, tryptaza, allergy, Hymenoptera, bee venom, tryptase

pages: from 163 to 171

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