Citation

Abrams E, Chan E. Paediatr. Child Health (1996) 2018; 23(8): 557-558.

Affiliation

Canadian Paediatric Society, Allergy Section, Ottawa, Ontario.

Copyright

(Copyright © 2018, Canadian Paediatric Society, Publisher Pulsus Group)

DOI

10.1093/pch/pxy140

PMID

31043842

PMCID

PMC6242025

Abstract

There are two types of IgE-mediated reactions to stinging insects: large local reactions and systemic reactions. Acute management of large local reactions is symptomatic and a patient history of a large local reaction does not indicate need for an epinephrine auto-injector or venom immunotherapy. By contrast, acute management of systemic reactions requires intramuscular epinephrine. Long-term management includes prescribing an epinephrine auto-injector and consideration for venom immunotherapy by a paediatric allergist.

Language: fr

Keywords

Allergy; Anaphylaxis; Large local reaction; Stinging insect; Venom immunotherapy