Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
1993-4-20
pubmed:abstractText
This prospective study over 3 years investigated the safety, immunogenicity, and effectiveness of immunotherapy (IT) with aluminum hydroxide adsorbed insect venom extracts (Alutard SQ, ALK Laboratories) in patients with previous, severe, systemic, IgE-mediated, anaphylactic reactions to Hymenoptera stings. Seventeen patients were treated with honeybee venom (BV), 13 with yellow-jacket venom (YJV), and 5 with both. No severe reactions to IT were noted. Only 3 BV-allergic patients experienced mild systemic reactions of grades I or II (1 per 139 injections) during the increase phase. As for the immunologic data, there was a significant decrease in specific IgE antibodies after 1 year, and a significant increase in specific IgG and IgG4 antibodies on reaching the maintenance dose, with a further rise after 1, 2, and 3 years. Moreover, a significant decrease in anti-IgE autoantibodies was observed in the BV group. Out of the 11 patients that were occasionally restung by the relevant insect (totaling 19 stings in all), only one patient developed mild systemic allergic symptoms after a third sting. In view of these results, we consider IT with aluminum hydroxide adsorbed insect venom extracts to be safe, immunogenic, and effective. The low rate of side-effects may be due to the slow release of the venom in the aluminum hydroxide adsorbed form.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Feb
pubmed:issn
0105-4538
pubmed:author
pubmed:issnType
Print
pubmed:volume
48
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
81-6
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed-meshheading:8457037-Adolescent, pubmed-meshheading:8457037-Adult, pubmed-meshheading:8457037-Aged, pubmed-meshheading:8457037-Aluminum Hydroxide, pubmed-meshheading:8457037-Animals, pubmed-meshheading:8457037-Bee Venoms, pubmed-meshheading:8457037-Bees, pubmed-meshheading:8457037-Child, pubmed-meshheading:8457037-Desensitization, Immunologic, pubmed-meshheading:8457037-Female, pubmed-meshheading:8457037-Humans, pubmed-meshheading:8457037-Hypersensitivity, Immediate, pubmed-meshheading:8457037-Immunoglobulin E, pubmed-meshheading:8457037-Immunoglobulin G, pubmed-meshheading:8457037-Insect Bites and Stings, pubmed-meshheading:8457037-Male, pubmed-meshheading:8457037-Middle Aged, pubmed-meshheading:8457037-Prospective Studies, pubmed-meshheading:8457037-Wasp Venoms, pubmed-meshheading:8457037-Wasps
pubmed:year
1993
pubmed:articleTitle
Immunotherapy with aluminum hydroxide adsorbed insect venom extracts (Alutard SQ): immunologic and clinical results of a prospective study over 3 years.
pubmed:affiliation
Department of Dermatology, University Hospital, Zurich, Switzerland.
pubmed:publicationType
Journal Article