IgE Sensitization to Thaumetopoea pityocampa: Diagnostic Utility of a Setae Extract, Clinical Picture and Associated Risk Factors

Background: Setae from Thaumetopoea pityocampa larvae (the pine processionary moth or PPM) can induce hypersensitivity reactions, but their clinical role in IgE-mediated responses is still subject to discussion. The aim of this study was to evaluate a setae extract for in vivo and in vitro diagnosis...

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Veröffentlicht in:International archives of allergy and immunology 2014-01, Vol.165 (4), p.283-290
Hauptverfasser: Vega, José María, Moneo, Ignacio, García-Ortiz, José Carlos, González-Muñoz, Miguel, Ruiz, Carmen, Rodríguez-Mahillo, Ana Isabel, Roques, Alain, Vega, Jesús
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container_issue 4
container_start_page 283
container_title International archives of allergy and immunology
container_volume 165
creator Vega, José María
Moneo, Ignacio
García-Ortiz, José Carlos
González-Muñoz, Miguel
Ruiz, Carmen
Rodríguez-Mahillo, Ana Isabel
Roques, Alain
Vega, Jesús
description Background: Setae from Thaumetopoea pityocampa larvae (the pine processionary moth or PPM) can induce hypersensitivity reactions, but their clinical role in IgE-mediated responses is still subject to discussion. The aim of this study was to evaluate a setae extract for in vivo and in vitro diagnosis in nonhospitalized patients with reactions to PPM. Methods: Forty-eight adult patients presenting with PPM cutaneous reactions were studied by skin prick test (SPT) and specific IgE using setae and whole larval (WL) extracts. Biological standardized extracts were used for skin tests. Results: A total of 47.9% patients had a positive SPT for PPM (70% to both extracts, 17% only to the WL extract and 13% only to the setae extract). IgE immunoblotting detected several reactive bands in 91% of the SPT-positive cases. In multivariate analysis, male sex, immediate latency (
doi_str_mv 10.1159/000369807
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The aim of this study was to evaluate a setae extract for in vivo and in vitro diagnosis in nonhospitalized patients with reactions to PPM. Methods: Forty-eight adult patients presenting with PPM cutaneous reactions were studied by skin prick test (SPT) and specific IgE using setae and whole larval (WL) extracts. Biological standardized extracts were used for skin tests. Results: A total of 47.9% patients had a positive SPT for PPM (70% to both extracts, 17% only to the WL extract and 13% only to the setae extract). IgE immunoblotting detected several reactive bands in 91% of the SPT-positive cases. In multivariate analysis, male sex, immediate latency (&lt;1 h) and duration of skin symptoms (&lt;24 h) were independent predictors of a positive SPT. Conclusions: IgE sensitization to PPM was found in 48% of the study patients, which was associated with immediate reactions and evanescent cutaneous lesions. Most of these patients reacted to both WL and setae extracts, but some reacted to only one of them. According to our data, skin and in vitro tests to PPM should be performed using both extracts.</description><identifier>ISSN: 1018-2438</identifier><identifier>EISSN: 1423-0097</identifier><identifier>DOI: 10.1159/000369807</identifier><identifier>PMID: 25661274</identifier><language>eng</language><publisher>Basel, Switzerland: S. Karger AG</publisher><subject>Adolescent ; Adult ; Allergies ; Allergology ; Animal biology ; Animals ; Biodiversity and Ecology ; Cross-Sectional Studies ; Dermatitis, Allergic Contact - diagnosis ; Dermatitis, Allergic Contact - immunology ; Diagnosis ; Environmental Sciences ; Female ; Health aspects ; Humans ; Hypersensitivity, Immediate - diagnosis ; Hypersensitivity, Immediate - immunology ; Immunoblotting ; Immunoglobulin E ; Immunoglobulin E - blood ; Immunoglobulin E - immunology ; Immunoglobulins ; Immunology ; Insect allergy ; Insects ; Invertebrate Zoology ; Larva - immunology ; Life Sciences ; Logistic Models ; Male ; Moths ; Moths - immunology ; Original Paper ; Physiological aspects ; Risk factors ; Santé publique et épidémiologie ; Skin Tests - methods ; Spain ; Thaumetopoea pityocampa ; Young Adult</subject><ispartof>International archives of allergy and immunology, 2014-01, Vol.165 (4), p.283-290</ispartof><rights>2015 S. Karger AG, Basel</rights><rights>2015 S. 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The aim of this study was to evaluate a setae extract for in vivo and in vitro diagnosis in nonhospitalized patients with reactions to PPM. Methods: Forty-eight adult patients presenting with PPM cutaneous reactions were studied by skin prick test (SPT) and specific IgE using setae and whole larval (WL) extracts. Biological standardized extracts were used for skin tests. Results: A total of 47.9% patients had a positive SPT for PPM (70% to both extracts, 17% only to the WL extract and 13% only to the setae extract). IgE immunoblotting detected several reactive bands in 91% of the SPT-positive cases. In multivariate analysis, male sex, immediate latency (&lt;1 h) and duration of skin symptoms (&lt;24 h) were independent predictors of a positive SPT. Conclusions: IgE sensitization to PPM was found in 48% of the study patients, which was associated with immediate reactions and evanescent cutaneous lesions. Most of these patients reacted to both WL and setae extracts, but some reacted to only one of them. 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The aim of this study was to evaluate a setae extract for in vivo and in vitro diagnosis in nonhospitalized patients with reactions to PPM. Methods: Forty-eight adult patients presenting with PPM cutaneous reactions were studied by skin prick test (SPT) and specific IgE using setae and whole larval (WL) extracts. Biological standardized extracts were used for skin tests. Results: A total of 47.9% patients had a positive SPT for PPM (70% to both extracts, 17% only to the WL extract and 13% only to the setae extract). IgE immunoblotting detected several reactive bands in 91% of the SPT-positive cases. In multivariate analysis, male sex, immediate latency (&lt;1 h) and duration of skin symptoms (&lt;24 h) were independent predictors of a positive SPT. Conclusions: IgE sensitization to PPM was found in 48% of the study patients, which was associated with immediate reactions and evanescent cutaneous lesions. 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source MEDLINE; Karger Journals; Alma/SFX Local Collection
subjects Adolescent
Adult
Allergies
Allergology
Animal biology
Animals
Biodiversity and Ecology
Cross-Sectional Studies
Dermatitis, Allergic Contact - diagnosis
Dermatitis, Allergic Contact - immunology
Diagnosis
Environmental Sciences
Female
Health aspects
Humans
Hypersensitivity, Immediate - diagnosis
Hypersensitivity, Immediate - immunology
Immunoblotting
Immunoglobulin E
Immunoglobulin E - blood
Immunoglobulin E - immunology
Immunoglobulins
Immunology
Insect allergy
Insects
Invertebrate Zoology
Larva - immunology
Life Sciences
Logistic Models
Male
Moths
Moths - immunology
Original Paper
Physiological aspects
Risk factors
Santé publique et épidémiologie
Skin Tests - methods
Spain
Thaumetopoea pityocampa
Young Adult
title IgE Sensitization to Thaumetopoea pityocampa: Diagnostic Utility of a Setae Extract, Clinical Picture and Associated Risk Factors
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