Large local reactions and systemic reactions to insect stings: Similarities and differences.

Autor: Patrik Tripolt, Lisa Arzt-Gradwohl, Urban Čerpes, Karin Laipold, Barbara Binder, Gunter Johannes Sturm
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: PLoS ONE, Vol 15, Iss 4, p e0231747 (2020)
Druh dokumentu: article
ISSN: 1932-6203
DOI: 10.1371/journal.pone.0231747
Popis: BACKGROUND:Large local reactions (LLR) to Hymenoptera stings were considered as IgE-mediated late-phase inflammatory reactions. However, in older studies, most patients with LLR were skin test positive, but only around 50% had detectable sIgE determined by the RAST system. METHODS:Data of 620 patients were evaluated retrospectively: 310 patients who suffered from LLR and 310 patients with previous systemic sting reactions (SSR). We aimed to clarify if sIgE can generally be detected by the CAP system in patients with LLR; sIgE levels and clinical parameters were compared between patients with LLR and SSR. RESULTS:Positive sIgE levels were detected in 80.7% of patients with LLR, and in 95.2% of patients with SSR (p20cm, with a mean duration of seven days. In only 2.9% of patients, LLRs occurred after stings on the trunk, while 14.8% of SSR resulted from stings on this site (p
Databáze: Directory of Open Access Journals
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