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[圆桌会议:节肢动物叮咬和蜇伤引起的荨麻疹(不包括膜翅目)]

[Round Table: Urticaria caused by arthropod bites and stings (excluding Hymenoptera)].

作者信息

Martínez-Molero M I

机构信息

Servicio de Alergia Infantil, Hospital General Universitario "Gregorio Marañón", Madrid, España.

出版信息

Allergol Immunopathol (Madr). 1999 Mar-Apr;27(2):96-104.

PMID:10354013
Abstract

Adverse reactions to arthropod bites (hymenoptera excluded) can be faced with systemic reactions and local reaction. Among the numerous families of arthropods the species most commonly responsible are mosquitoes,. flea, horsefly and tick. In this article we explain the characteristics of reaction caused by arthropods and the mechanisms proposed. An IgE mechanism is incriminated in severe anaphylactic reactions. Various mechanisms have been proposed for local reactions. In order to know the incidence of sensitization and cross-reactivity with other arthropods, we have done a study where we have found that 31% of patients with reaction to mosquito bite had sensitization to Aedes communis and 53% of this group also had sensitization to other arthropods, probably due to a cross-reactivity.

摘要

节肢动物叮咬(不包括膜翅目昆虫)的不良反应可表现为全身反应和局部反应。在众多节肢动物家族中,最常见的致病种类是蚊子、跳蚤、马蝇和蜱。在本文中,我们解释了节肢动物引起的反应的特征以及提出的机制。IgE机制被认为与严重过敏反应有关。对于局部反应,已经提出了各种机制。为了了解对其他节肢动物的致敏率和交叉反应性,我们进行了一项研究,发现31%对蚊子叮咬有反应的患者对普通伊蚊致敏,该组中53%的患者也对其他节肢动物致敏,这可能是由于交叉反应。

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