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- Title
Wstrząs anafilaktyczny u pacjentki w okresie przedmiesiączkowym w trakcie immunoterapii jadem pszczoły.
- Authors
LEŚNY, MATEUSZ; ZIELIŃSKA, JOANNA; UKLEJA-SOKOŁOWSKA, NATALIA; PAŁGAN, KRZYSZTOF; LIS, KINGA; ŻBIKOWSKA-GOTZ, MAGDALENA; BARTUZI, ZBIGNIEW
- Abstract
Introduction. Allergy to hymenoptera venom is a significant clinical problem. Allergen-specific immunotherapy is an effective method of treatment of bee venom allergy. Unfortunately, in course of immunotherapy some adverse anaphylactic reactions with a broad range of symptoms may appear. Case report. A 31-year old woman in June 2016 underwent anaphylactic shock after being stung by a bee. Intradermal tests with bee venom turned out positive. Total IgE concentration was 79,08 kU/l; allergen-specific IgE to bee venom (sIgE) <0,35 kU/l (class 0); allergen- -specific IgE to bee venom (sIgE) 11,81 kU/l (class 3). The patient was qualified to allergen-specific immunotherapy. In the period between July and December 2017, the patient received a maintenance dose of bee venom six times. No topical nor general complications were reported. In January 2018 the patient reported for a follow-up to receive the 7th maintenance dose. Symptoms of anaphylactic shock appeared around 10 minutes after administration of 100 μg Venomenhal bee. Successful shock management treatment was applied, with adrenaline being administered twice. The woman was in premenstrual period, she stopped taking contraceptive pills while in menstrual cycle preceding the vaccine. No other factors possibly aggravating the course of allergic reactions were reported.
- Subjects
BEE venom; ANAPHYLAXIS; SHOCK therapy; ALLERGIES; MENSTRUAL cycle
- Publication
Alergia Astma Immunologia, 2019, Vol 24, Issue 4, p173
- ISSN
1427-3101
- Publication type
Article