Bee Allergy

Year 2017, Volume: 9 Issue: 2, 109 - 116, 15.03.2017

Doç. Dr. Yakup Canıtez

Abstract

Abstract

Reactions to bee stings are include small local reactions, large local reactions, andsystemic (anaphylaxis) reactions. The most of sting reactions due to bee sting are common small local reaction. The large local reactions diameter is more than 10 cm. These reactions do not predispose to systemic reactions, but the risk of systemic reactions in patients with recurrent large local reactions is higher than in small local reactions. Diagnosis of bee allergy depends on history, skin tests and serum specific IgE levels. While the cross reaction between honey bee species is limited, it is frequent between vespula. The first step of the treatment is tell about prevention to beestings. Diagnosis and treatment of anaphylaxis due to bee sting is the same as anaphylaxis due to other causes. If patient have a systemic reaction story, adrenalin autoenjector should be prescribed and given training. Venom immunotherapy is a highly successful treatment method used in children with a systemic reaction risk after bee sting.

Keywords

Bee allergy, anaphylaxis, Immunotherapy, Venom immunotherap

Arı Alerjisi

Abstract

Öz

Arı sokmalarına bağlı reaksiyonlar; küçük lokal reaksiyonlar, geniş lokal reak-siyonlar ve sistemik (anafilaksi) reaksiyonlardır. Arı sokmalarına bağlı en sık küçüklokal reaksiyon görülür. Geniş lokal reaksiyon 10 cm çapından daha fazla genişlikte olan lezyonlardır. Bu reaksiyonlar sistemik reaksiyonların öncüsü değildir ancak tekrarlayan geniş lokal reaksiyonu olan hastalarda sistemik reaksiyon riski küçük lokal reaksiyona göre daha yüksektir. Arı alerjisinde tanı; öykü, deri testleri ve serumspesifik IgE düzeylerine bakılarak konulmaktadır. Bal arısı türleri arasında çapraz reaksiyon sınırlı iken, yaban arıları arasında sıktır. Tedavide ilk yapılması gereken arı sokmasından korunma önlemlerinin anlatılmasıdır. Arı sokmasına bağlı anafilaksinin tanı ve tedavisi diğer nedenlere bağlı anafilaksi ile aynıdır. Sistemik reaksiyon öyküsü olan hastalara adrenalin otoenjektörü reçete edilmeli ve kullanma eğitimi verilmelidir. Venom immünoterapisi arı sokması sonrası sistemik reaksiyon riski olan çocuklarda kullanılan ve başarı oranı yüksek bir tedavi yöntemidir.

Keywords

immünoterapi, venom immünoterapi

References

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