@article{ref1,
title="The special problem of insect venom allergy in childhood",
journal="Allergie und immunologie",
year="1991",
author="Forster, J. and Eckes, A. and Hauk, P. and Urbanek, R.",
volume="37",
number="1",
pages="59-62",
abstract="Natural history of hymenoptera sting allergy is less life threatening in children than in adults. We evaluated a commonly used risk score (allergic reaction to the index sitting, sensitization measured by skin prick test and specific IgE, and specific IgG - maximal 8 points) for its predictability of forthcoming allergic reactions. 93 children with low scores (less than 7 points) experienced stings in field, 96% were save from severe systemic reactions. Of 119 children with high scores (greater than 6 points) receiving rush hyposensitization only 32% developed systemic reactions. We conclude that the score appropriately identifies individuals not to be hyposensitized, but that it overestimates the number of children with a need for hyposensitization. We therefore developed a diagnostic scheme including challenge stings to identify those children who really need hyposensitization.<p /><p>Language: de</p>",
language="de",
issn="0323-4398",
doi="",
url="http://dx.doi.org/"
}