@article{ref1,
title="Anaphylaxis to insect stings",
journal="Immunology and allergy clinics of North America",
year="2015",
author="Golden, David B. K.",
volume="35",
number="2",
pages="287-302",
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.<p /> <p>Language: en</p>",
language="en",
issn="0889-8561",
doi="10.1016/j.iac.2015.01.007",
url="http://dx.doi.org/10.1016/j.iac.2015.01.007"
}