Hypersensitivity reactions following sting by Hymenoptera are induced by IgE-mediated anaphylactic reactions. Using venom antigens of wasps, yellow jackets and honeybees, intracutaneous tests, scratch tests and RAST were carried out on 14 normal subjects and 15 patients who had had episodes of generalized anaphy1actic reactions to stinging by Hypenoptera. The aims of this study were to determine the optimal concentrations of antigens to be used in skin-testing to diagnose the hypersensitivity, to eva1uate RAST measurement in the diagnose of hypersensitivity, and to investigate the cross-reactivity of 3 venom antigens. 1) On the scratch test, when a concentration of 1000μg/ml of the antigens were used, all the nomal subjects showed a negative response, while all except 3 of the hypersensitive subjects showed positive reaction 2) On the intracutaneous test, when 1.0μg/m1 of the venom antigens were used, all of the normal subjects showed a negative response, while most of the hypersensitive subjects (100% in the case of wasp venom and 93.3% in yellow jacket) showed positive response. On the other hand, positive responses to honeybee venom antigens were found in 40% of the hypersensitive subjects. 3) Sixty and 73.3% respectively, of the hypersensitive subjects showed a positive response on RAST to wasp and yellow jacket venom antigens, while only 13% of the hypersensitive subjects showed positive response to honeybee venom antigen. 4) End points of intracutaneous tests with wasp and yellow jacket venom antigens showed significant correlation, suggesting cross-reactivity of these 2 antigens. However, there was no significant correlation either between the response to wasp and honeybee venom antigens, nor between the response to yellow jacket and honeybee venom antigens.
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