{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T20:23:54Z","timestamp":1791231834002,"version":"4.1.0"},"reference-count":25,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2012,6,8]],"date-time":"2012-06-08T00:00:00Z","timestamp":1339113600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Allergy"],"published-print":{"date-parts":[[2012,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Diagnostic tests in patients with <jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>ymenoptera venom allergy are frequently positive to venoms of both honey bee and wasp (<jats:italic><jats:styled-content style=\"fixed-case\">V<\/jats:styled-content>espula<\/jats:italic>). Component\u2010resolved analysis with recombinant species\u2010specific major allergens (r<jats:styled-content style=\"fixed-case\">SSMA<\/jats:styled-content>) may help to distinguish true double sensitization from crossreactivity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Included were 121 patients with systemic allergic reactions to <jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>ymenoptera stings, 76 with double positivity of serum\u2010specific <jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>g<jats:styled-content style=\"fixed-case\">E<\/jats:styled-content> (s<jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>g<jats:styled-content style=\"fixed-case\">E<\/jats:styled-content>) to both venoms, 45 with single positivity to bee or wasp venom, and 32 controls without history of systemic reactions to <jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>ymenoptera stings and no s<jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>g<jats:styled-content style=\"fixed-case\">E<\/jats:styled-content> to whole venoms. In venom\u2010allergic patients and controls, s<jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>g<jats:styled-content style=\"fixed-case\">E<\/jats:styled-content> to r<jats:styled-content style=\"fixed-case\">SSMA A<\/jats:styled-content>pi m 1 of bee venom and to <jats:styled-content style=\"fixed-case\">V<\/jats:styled-content>es v 1 and <jats:styled-content style=\"fixed-case\">V<\/jats:styled-content>es v 5 of wasp venom were tested by <jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>mmuno<jats:styled-content style=\"fixed-case\">CAP<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Only 47% of 76 patients with double positivity to whole venoms reacted also to r<jats:styled-content style=\"fixed-case\">SSMA<\/jats:styled-content> of both species. Specificity of s<jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>g<jats:styled-content style=\"fixed-case\">E<\/jats:styled-content> to the 3 r<jats:styled-content style=\"fixed-case\">SSMA<\/jats:styled-content> was very high, with no s<jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>g<jats:styled-content style=\"fixed-case\">E<\/jats:styled-content> to r<jats:styled-content style=\"fixed-case\">SSMA<\/jats:styled-content> of the other species in single\u2010positive venom\u2010allergic patients and only one control with low s<jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>g<jats:styled-content style=\"fixed-case\">E<\/jats:styled-content> to <jats:styled-content style=\"fixed-case\">V<\/jats:styled-content>es v 1. All wasp\u2010allergic single\u2010positive patients had s<jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>g<jats:styled-content style=\"fixed-case\">E<\/jats:styled-content> to <jats:styled-content style=\"fixed-case\">V<\/jats:styled-content>es v 5 and\/or <jats:styled-content style=\"fixed-case\">V<\/jats:styled-content>es v 1, and 78.3% of single\u2010positive bee venom\u2013allergic patients had s<jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>g<jats:styled-content style=\"fixed-case\">E<\/jats:styled-content> to <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>pi m 1.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Specificity of s<jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>g<jats:styled-content style=\"fixed-case\">E<\/jats:styled-content> to r<jats:styled-content style=\"fixed-case\">SSMA<\/jats:styled-content> of both species is excellent. Sensitivity of s<jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>g<jats:styled-content style=\"fixed-case\">E<\/jats:styled-content> to r<jats:styled-content style=\"fixed-case\">SSMA<\/jats:styled-content> was optimal for wasp venom. Sensitivity of bee venom <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>pi m 1 could be increased by adding r<jats:styled-content style=\"fixed-case\">SSMA<\/jats:styled-content> of other important bee venom allergens.<\/jats:p><\/jats:sec>","DOI":"10.1111\/j.1398-9995.2012.02847.x","type":"journal-article","created":{"date-parts":[[2012,6,8]],"date-time":"2012-06-08T10:31:23Z","timestamp":1339151483000},"page":"1069-1073","source":"Crossref","is-referenced-by-count":107,"title":["IgE to recombinant allergens <scp>A<\/scp>pi m 1, <scp>V<\/scp>es v 1, and <scp>V<\/scp>es v 5 distinguish double sensitization from crossreaction in venom allergy"],"prefix":"10.1111","volume":"67","author":[{"given":"U.","family":"M\u00fcller","sequence":"first","affiliation":[{"name":"Division of Allergy, Department of Medicine Spital Ziegler Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Schmid\u2010Grendelmeier","sequence":"additional","affiliation":[{"name":"Allergy Unit, Department of Dermatology University Hospital of Z\u00fcrich Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"O.","family":"Hausmann","sequence":"additional","affiliation":[{"name":"Division of Allergy, Department of Medicine Spital Ziegler Bern Switzerland"},{"name":"Division of Allergy, Department of Rheumatology Clinical Immunology and Allergology, Inselspital, University of Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Helbling","sequence":"additional","affiliation":[{"name":"Division of Allergy, Department of Medicine Spital Ziegler Bern Switzerland"},{"name":"Division of Allergy, Department of Rheumatology Clinical Immunology and Allergology, Inselspital, University of Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,6,8]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1398-9995.2008.01794.x"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/0091-6749(81)90133-0"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2222.2004.01897.x"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1398-9995.2011.02630.x"},{"key":"e_1_2_8_6_1","first-page":"237","volume-title":"Allergens and Allergen Immunotherapy","author":"King TP","year":"2008"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jprot.2009.01.017"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.3109\/02770906609106941"},{"key":"e_1_2_8_9_1","volume-title":"Insect Sting Allergy. 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