꿀벌 ( Apis mellifera Linne ) 독 알레르기의 1례

다국어 초록 (Multilingual Abstract)

A 4 7 year old w om a.n visited our Allergy Clinic in April 1981 with the chief complaints cf syncopal att acks and recurrent urticaria. S he w as an apiarists wife living I n a rural area. There w ss no remarka- ble past or farmily his.'cries. One day in June 198 0, she was stung by a hone yb e ( Apis mellifera Linne ) on the he d at home. A few minutes laier, gener alized itching urticaria, chest tightness, dizzin ess and finally s vnccpe develo- pe d. Emergency tre atment was done at a local c lin- ic, and all symptcr rs disppeared in the next mcr n ing. P revicusly she w s s tur.g by honeybees on the extremites two or three times in the spring cf that year, but there ws no systemic reacticns, Since abcut 15 days sf ier the sy nccp zl attack, re- current chronic ur ticaria develc ped svithcut att ributa- ble cause or seascn a l variaiio n. In september 1 58 0, s he w as stung g -I n on the arm with rel stiv e ly l arge loc sl re ac ticn I n April 1 981, s 4e experi enced t xv o tirr.es cf fai nt- ing att ack and vsu ! Ar ccl! Spse in the fu!1 blown stage cf gener a lize 3 urtic a ri a. She h.d no defini te memor y cf bee s.in g , On ph ysical ex amin it icr., no r em ar' ab !e nbncrm- ali t v was f -und except mi l d derm c graph I s v , On laboratory examination, CBC was normal, urine and stool exam. Negative, total serum IgE level 354 IU/ml by RlST, Skin test with 1% body extract cf Apis mellifera showed pcsitive reaction, We concluded that this patient had honeybee ven- om allergy with a typical history cf anaphyl axis, although the causes of recurrent urticaria a nd recent syncopal attacks were uncert ain.