Sgambato F, Pedicini A, De Rienzo D, Falagiani P
Ospedale S. Cuore di Gesù-Fatebenefratelli-Benevento.
Boll Ist Sieroter Milan. 1987;66(5):411-5.
The authors describe a clinical case of rhinitis and asthma in an angler after exposure to antigenic material released from larvae of fly, commonly used by anglers as bait. The common names of these larvae are "blue bottle", "green bottle" and "grey bottle". The patient was usually in good health, free from allergic diseases and free from asthmatic attacks when far from exposure to the baits. Spirometric evaluation revealed a fall of 21% in VEMS after challenge with antigen. Skin test (prick) with an extract obtained from the baits and RAST were strongly positive. By avoidance of exposure to antigen obtained changing type of bait, the asthmatic attacks completely disappeared. The authors discuss the clinical, diagnostic and preventive aspects of this allergic syndrome, and deal with the taxonomy of the insect.
作者描述了一名垂钓者在接触了蝇幼虫释放的抗原性物质后出现鼻炎和哮喘的临床病例，蝇幼虫是垂钓者常用作鱼饵的。这些幼虫的俗名是“蓝瓶蝇”“绿瓶蝇”和“灰瓶蝇”。患者通常身体健康，远离鱼饵时无过敏性疾病且无哮喘发作。肺功能测试评估显示，抗原激发后第一秒用力呼气容积下降了21%。用从鱼饵中提取的提取物进行皮肤点刺试验和放射变应原吸附试验均呈强阳性。通过避免接触更换鱼饵类型后获得的抗原，哮喘发作完全消失。作者讨论了这种过敏综合征的临床、诊断和预防方面，并探讨了该昆虫的分类学。
