혈청병 양상을 나타낸 벌독 알레르기 1예
A case of serum sickness reaction after multiple bee-stings
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초록
저자들은 벌독에 의한 지연성 알레르기 반응으로 다발성 벌 자상 후 9일 후부터 전신적 피부 발진, 발열, 관절통, 근육통, 단백뇨 등 전형적인 혈청병의 양상을 보인 27세 남자 환자에서 부신피질 스테로이드 투여 후 호전된 예를 경험하고 이를 보고한다.
Abstract
Anaphylaxis is the most common systemic allergic reaction caused by bee stings. Delayed-type allergic reactions, including serum sickness, occur much less frequently. We report a 27-year-old man who developed serum sickness reaction nine days after multiple bee-stings. He had complained of erythematous skin rash, fever, arthralgia, myalgia and proteinuria. High specific IgE to bee venoms (honeybee, yellow jacket, yellow hornet) were observed by CAP system and C3, C4 and circulating immune complex levels measured by C1q binding assay showed normal values. We report a case of serum sickness reaction caused by multiple bee stings.(Korean J Med 63:587-590, 2002)