Foreign-body granuloma and IgE-pseudolymphoma after multiple bee stings

Br J Dermatol. 1994 Jun;130(6):780-4. doi: 10.1111/j.1365-2133.1994.tb03419.x.

Abstract

We report a patient with an unusual combination of an eosinophilic foreign-body granuloma and a pseudolymphoma, with recurrent severe oedema on the forehead, after multiple bee stings. On immunohistology the foreign-body granuloma and lymphoid follicles reacted with monoclonal antibodies against the high- and low-affinity IgE receptors, and against IgE. Prick and intradermal tests with whole-body bee extracts showed positive immediate-type reactions. The eosinophilic granuloma formation and lymphoid follicles may have been induced by a combination of immune complex and cell-mediated hypersensitivity following antigen persistence. Although bee stings are common, as far as we are aware, this complex reaction pattern has not been reported previously.

Publication types

  • Case Reports

MeSH terms

  • Animals
  • Bees*
  • Granuloma, Foreign-Body / etiology*
  • Granuloma, Foreign-Body / immunology
  • Granuloma, Foreign-Body / pathology
  • Humans
  • Immunoglobulin E / immunology
  • Immunohistochemistry
  • Insect Bites and Stings / complications*
  • Insect Bites and Stings / pathology
  • Male
  • Middle Aged
  • Receptors, IgE / immunology
  • Skin / pathology

Substances

  • Receptors, IgE
  • Immunoglobulin E