bee sting
Quick Summary
anaphylaxis
Systemic anaphylactic response to bee venom in an individual with type I hypersensitivity. In most people a bee sting is nothing more than an unpleasant, painful experience that is soon forgotten. However, for a minority of individuals who have an allergic predisposition to bee venom, the insect's sting can cause a dangerous, potentially fatal reaction known as systemic anaphylaxis. (Top left) A bee sting releases venom, which enters the bloodstream of an individual sensitized to it—that is, someone whose immune system has been triggered by previous experience to recognize venom as a threat to the body. Venom, distributed through the body by the bloodstream, interacts with basophils in the blood and (bottom left) mast cells in tissues. Previous exposure has “primed,” or sensitized, the individual by stimulating these cells to generate immunoglobulin E (IgE) antibodies, which attach to the surfaces of the mast cells and basophils. When the venom interacts with the IgE antibodies, it stimulates the mast cells and basophils to release biologically active chemicals. Within seconds or minutes the chemicals give rise to manifestations of systemic anaphylaxis, which are listed on the right side of the figure.
A bee sting occurs when a bee injects venom into the skin with its barbed stinger. This causes immediate pain, followed by redness and swelling. The stinger can remain in the skin, continuing to inject venom, so it's best to scrape it out quickly rather than pulling it. While most people develop immunity to the swelling after a few stings, some can experience severe allergic reactions, known as anaphylaxis, which require immediate medical attention. These reactions can include difficulty breathing and shock.12
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