Biomaterial Database

Medical Algorithms: Diagnosis and treatment of Hymenoptera venom allergy. 2019

Gunter J Sturm, and Lisa Arzt-Gradwohl, and Eva-M Varga

Department of Dermatology and Venerology, Medical University of Graz, Graz, Austria.

Diagnosis of Hymenoptera venom allergy (HVA) is straightforward in the majority of patients, but can be challenging in double positive and test negative patients. Test results sometimes can be confusing as patients with high skin test reactivity and high specific IgE (sIgE) levels are not at risk for severe systemic sting reactions (SSR), and conversely, patients with weakly positive or even negative tests can experience severe SSR. Venom immunotherapy (VIT) is safe, highly effective, and recommended in patients with moderate to severe SSR and in patients with SSR confined to generalized skin symptoms if quality of life is impaired.

UI	MeSH Term	Description	Entries
D006967	Hypersensitivity	Altered reactivity to an antigen, which can result in pathologic reactions upon subsequent exposure to that particular antigen.	Allergy,Allergic Reaction,Allergic Reactions,Allergies,Hypersensitivities,Reaction, Allergic,Reactions, Allergic
D007299	Insect Bites and Stings	Bites and stings inflicted by insects.	Insect Bites,Insect Stings,Bite, Insect,Bites, Insect,Insect Bite,Insect Sting,Sting, Insect,Stings, Insect
D006927	Hymenoptera	An extensive order of highly specialized insects including bees, wasps, and ants.
D000066491	Clinical Decision-Making	Process of formulating a diagnosis based on medical history and physical or mental examinations, and/or choosing an appropriate intervention.	Medical Decision-Making,Clinical Decision Making,Decision-Making, Clinical,Decision-Making, Medical,Medical Decision Making
D000465	Algorithms	A procedure consisting of a sequence of algebraic formulas and/or logical steps to calculate or determine a given task.	Algorithm
D000485	Allergens	Antigen-type substances that produce immediate hypersensitivity (HYPERSENSITIVITY, IMMEDIATE).	Allergen
D000818	Animals	Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA.	Animal,Metazoa,Animalia
D001180	Arthropod Venoms	Venoms from animals of the phylum ARTHROPODA. Those most investigated are from SCORPIONS and SPIDERS of the class Arachnidae and from ant, bee, and wasp families of the INSECTA order HYMENOPTERA. The venoms contain protein toxins, enzymes, and other bioactive substances and may be lethal to man.	Arachnid Toxin,Arachnid Toxins,Arachnid Venoms,Hymenoptera Venom,Hymenoptera Venoms,Insect Venom,Insect Venoms,Arachnid Venom,Arthropod Venom,Toxin, Arachnid,Toxins, Arachnid,Venom, Arachnid,Venom, Arthropod,Venom, Hymenoptera,Venom, Insect,Venoms, Arachnid,Venoms, Arthropod,Venoms, Hymenoptera,Venoms, Insect
D019468	Disease Management	A broad approach to appropriate coordination of the entire disease treatment process that often involves shifting away from more expensive inpatient and acute care to areas such as preventive medicine, patient counseling and education, and outpatient care. This concept includes implications of appropriate versus inappropriate therapy on the overall cost and clinical outcome of a particular disease. (From Hosp Pharm 1995 Jul;30(7):596)	Disease Managements,Management, Disease,Managements, Disease