DuGar Brandon, Sterbank Julie, Tcheurekdjian Haig, Hostoffer Robert
Ohio University Heritage College of Osteopathic Medicine, Athens, Ohio, USA.
Allergy Rhinol (Providence). 2014 Jul;5(2):113-5. doi: 10.2500/ar.2014.5.0086. Epub 2014 Jul 1.
We present a case report of a 5-year-old boy with presumed anaphylaxis to the caterpillar, Lophocampa maculata, manifesting as the acute development of diffuse urticaria and progressive dyspnea. This reaction required prompt treatment with antihistamines and a bronchodilator. Allergen scratch testing with a homogenized caterpillar extract suggests that immunoglobulin E-mediated type I hypersensitivity as the pathophysiological mechanism responsible for the boy's anaphylaxis. This case report represents the first documented occurrence of an anaphylactic reaction to Lophocampa maculata and adds to the rare incidence of documented hypersensitivity to the order Lepidoptera.
我们报告了一例5岁男孩疑似对黄斑茸毒蛾过敏的病例，表现为急性全身性荨麻疹和进行性呼吸困难。该反应需要立即使用抗组胺药和支气管扩张剂进行治疗。用匀浆化的毒蛾提取物进行变应原皮肤点刺试验表明，免疫球蛋白E介导的I型超敏反应是该男孩过敏反应的病理生理机制。本病例报告是首次有记录的对黄斑茸毒蛾过敏反应的发生，并增加了对鳞翅目昆虫过敏反应的罕见发生率。
