Citation

Golden DB. Immunol. Allergy Clin. North Am. 2015; 35(2): 287-302.

Affiliation

Division of Allergy-Immunology, Johns Hopkins University, 7939 Honeygo Boulevard #219, Baltimore, MD 21236, USA. Electronic address: dgolden1@jhmi.edu.

Copyright

(Copyright © 2015, Elsevier Publishing)

DOI

10.1016/j.iac.2015.01.007

PMID

25841552

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.

Language: en