Interní Med. 2010; 12(6): 330-332

How to deal with insect stings and reaction to the allergen?

MUDr.Vojtěch Thon, Ph.D.

Univerzitní centrum alergologie a klinické imunologie,

Ústav klinické imunologie a alergologie LF MU a FN u sv. Anny v Brně

Allergic reactions to insect stings can cause bright variety of symptoms from local extreme swelling to systemic anaphylaxis. Systemic

reactions affect 3 % of adults and 1 % of children. Severe reactions can occur at any age without warning. The treatment of choice for

acute anaphylaxis is epinephrine injection. Diagnostic tests should be carried out in all patients with a history of a systemic reaction to

detect sensitization. Testing comprises skin test with Hymenoptera venoms and serologic evidence of venom-specific IgE antibodies.

Hymenoptera venoms contain glycoprotein allergens which are unique to each family but are similar among the vespids. Venom immunotherapy

is a highly effective causal treatment.

Keywords: yellow jacket, honeybee, insect venom allergens, anaphylactic reaction, immunotherapy

Published: July 1, 2010  Show citation