%0 Journal Article
%T Alergia a veneno de himen車pteros na crian a =Hymenoptera venom allergy in children
%A Santos
%A S車nia et al.
%J Scientia Medica
%D 2012
%I Editora da Pontif赤cia Universidade Cat車lica do Rio Grande do Sul (EDIPUCRS)
%X Objetivos: A alergia a veneno de himen車pteros pode condicionar a vida da crian a de forma significativa. Pretende-se, com a exposi  o de dois casos cl赤nicos e uma breve revis o do tema, salientar a importancia da referencia  o dessas crian as a consultas especializadas, para in赤cio de dessensibiliza  o. Descri  o dos casos: Duas crian as, aos tr那s e aos seis anos, tiveram anafilaxia a picada de vespa e abelha, respectivamente. Em ambas, ap車s a determina  o de IgE espec赤fica e confirma  o alergol車gica, iniciou-se dessen- sibiliza  o com veneno de himen車pteros em esquema ultra-rush, sem intercorr那ncias relevantes, apenas edema no local da inje  o. Ap車s doze meses de inje  es a cada quatro semanas, recebem agora manuten  o com inje  es a cada seis semanas. No primeiro caso, a crian a foi picada por vespa aos dez meses de imunoterapia, desencadeando apenas rea  o local diminuta. Conclus es: Em ambos os casos, a imunoterapia espec赤fica subcutanea com veneno em esquema ultra-rush foi segura e eficaz, oferecendo o conforto de um menor n迆mero de inje  es e de deslocamentos ao hospital na fase de indu  o. A manuten  o da terap那utica j芍 demonstrou efeito protetor na reexposi  o ao veneno em uma das crian as. Aims: Allergy to hymenoptera venom may restrict a child＊s life significantly. It is intended, with the exposure of two clinical cases and a brief review on the topic, emphasizing the importance of referral of these children to specialized care for early desensitization. Cases description: Two children, at three and six years, had anaphylactic reaction to wasp and bee stings, respectively. In both cases, after the determination of specific IgE and allergologic confirmation, desensitization with hymenoptera venom in ultra-rush regimen was done, without relevant side effect apart from swelling at the injection site. After twelve months of injections every four weeks, the children are now receiving maintenance injections every six weeks. In the first case, the child was stung by wasp at ten months of immunotherapy, triggering only small local reaction. Conclusions: In both cases, the subcutaneous venom immunotherapy with ultra-rush regimen was safe and effective, providing the comfort of a smaller number of injections and hospital visits during the induction phase. Maintenance therapy has demonstrated a protective effect on re-exposure to the poison in one child.
%K HIPERSENSIBILIDADE
%K IMUNOTERAPIA
%K HIMEN車PTEROS
%U http://revistaseletronicas.pucrs.br/ojs/index.php/scientiamedica/article/view/10655/8621