Anaphylaxis to insect stings
- PMID: 25841552
- DOI: 10.1016/j.iac.2015.01.007
Anaphylaxis to insect stings
Abstract
Anaphylaxis to insect stings has occurred in 3% of adults and can be fatal even on the first reaction. Large local reactions are more frequent but rarely dangerous. The chance of a systemic reaction to a sting is 5% to 10% in large local reactors and in children with mild (cutaneous) systemic reactions, and varies between 30% and 65% in adults with previous systemic reactions, depending on the severity of previous sting reactions. Baseline serum tryptase level is increased in many patients with sting anaphylaxis. Venom immunotherapy is 75% to 98% effective in preventing sting anaphylaxis.
Keywords: Anaphylaxis; Diagnostic tests; Hymenoptera; Immunotherapy; Insect sting; Mastocytosis; Venom.
Copyright © 2015 Elsevier Inc. All rights reserved.
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