[Evaluation of Hymenoptera hypersensitivity including large local reactions among forest administration workers in...

We used a questionnaire to investigate Hymenoptera hypersensitivity in 715 forest administration workers in Gunma prefecture and measured venom specific IgE antibodies in those who had exhibited large local reactions (LLR). The results were as follows. 1) Almost all, i.e. 660 (92.3%), of the workers, including 156 (23.6%) hypersensitive workers, had been exposed to insect stings and 241 (36.5%) had experienced LLR. 2) Among the hypersensitive workers, 68.9% exhibited systemic reactions after having been stung no more than ten times and 18.2% experienced systemic reactions when they were stung for the first time. 3) About 60% of the hypersensitive workers had been stung on only one site when they exhibited systemic reactions. 4) An evaluation of venom specific IgE titer for the workers who experienced LLR revealed a relatively high rate of RAST positive results to yellow jackets (39.3%) and wasps (36.9%).