Comparative Medicine, The Interuniversity Messerli Research Institute of the University of Veterinary Medicine Vienna, Medical University of Vienna and University of Vienna, Vienna, Austria.
Institute of Pathophysiology and Allergy Research, Center of Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Vienna, Austria.
Allergy. 2019 May;74(5):874-887. doi: 10.1111/all.13722. Epub 2019 Feb 6.
Adverse reactions to insects occur in both human and veterinary patients. Systematic comparison may lead to improved recommendations for prevention and treatment in all species. In this position paper, we summarize the current knowledge on insect allergy induced via stings, bites, inhalation or ingestion, and compare reactions in companion animals to those in people. With few exceptions, the situation in human insect allergy is better documented than in animals. We focus on a review of recent literature and give overviews of the epidemiology and clinical signs. We discuss allergen sources and allergenic molecules to the extent described, and aspects of diagnosis, prophylaxis, management and therapy.
昆虫引起的不良反应在人和兽医患者中均有发生。系统的比较可能会促使所有物种的预防和治疗建议得到改善。在本立场文件中,我们总结了目前关于昆虫叮咬、咬伤、吸入或摄入引起的过敏反应的知识,并比较了伴侣动物和人类的反应。除了少数例外,人类昆虫过敏的情况比动物的记录更完善。我们重点回顾了最新文献,并对流行病学和临床症状进行了概述。我们讨论了过敏原来源和过敏原分子,程度取决于已有的描述,并讨论了诊断、预防、管理和治疗的各个方面。