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- Title
Alergia na jad pszczeli u pszczelarzy.
- Authors
MATYSIAK, JOANNA; KOKOT, ZENON J.; MATYSIAK, JAN
- Abstract
Beekeepers are a particular group of people highly exposed to stings and allergy to bee venom due to the nature of their work. Positive skin test results or bee venom specific IgE are observed in up to 60% of beekeepers. Reaction to the bee sting occurs most often as a normal local reaction, but a person allergic to bee venom may experience large local reaction, systemic symptoms, including anaphylactic shock. In patients with confirmed systemic allergic reaction in the past, basic diagnostic tests such as skin tests and bee venom specific IgE must be performed. Where appropriate, additional tests such as component- -resolved diagnosis, cell-based assays, tryptase or the venom-specific IgG4 levels should be conducted. Studies have shown significantly higher tryptase and specific IgG4 levels in beekeepers. Moreover, a correlation between clinical symptoms after the sting and the phospholipase A2 specific IgE concentration was observed. During venom-specific immunotherapy, increasing the dose to 200 μg should be considered in beekeepers.
- Publication
Alergia Astma Immunologia, 2017, Vol 22, Issue 1, p5
- ISSN
1427-3101
- Publication type
Article