Anaphylaxis to Insect Stings

作者：Golden David B K^*

来源：Immunology and Allergy Clinics of North America, 2015, 35(2): 287-+.

DOI：10.1016/j.iac.2015.01.007

• Anaphylaxis
• Venom
• Insect sting
• Hymenoptera
• Immunotherapy
• Diagnostic tests
• Mastocytosis

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.

• 出版日期2015-5