Apidae
The 83.3–92% of patients with anaphylaxis to A. dorsata stings had specific IgE (sIgE) to A. melliferavenom.4,70 This cross-reactivity suggests usingA. mellifera venom for diagnosis. A similar approach can be used in patients allergic to carpenter bees.13
In BBV allergy skin testing can be performed,8,11 and sIgE against BBV can be detected; no molecular allergens are commercially available. Specific IgE against HBV should be determined as well because apart from occupational exposure, primary sensitization through honey bee stings is likely.8,10,71