Large local reaction to Hymenoptera stings is usually defined as a swelling >10 cm which lasts longer than 24h, sometimes associated with erythema, pruritus, and blisters. Currently, the risk of subsequent systemic reactions after re-stings is considered low (2-15%). Therefore, a diagnostic work-up in case of large local reaction is often judged unnecessary, as well as adrenaline auto-injector and venom immunotherapy prescription. The aim of this study was to prospectively evaluate the outcome of re-stings in a real-world setting, in patients with a history of one previous large local reaction.

Large local reactions to Hymenoptera stings: outcome of re-stings in real-life / Bilò, M.B., Martini, M., Pravettoni, V., Bignardi, D., Bonadonna, P., Cortellini, G., Kosinska, M., Macchia, D., Mauro, M., Meucci, E., Nittner-Marszalska, M., Patella, V., Pio, R., Quercia, O., Reccardini, F., Ridolo, E., Rudenko, M., Severino, M.. - In: ALLERGY. - ISSN 0105-4538. - (2019). [10.1111/all.13863]

Large local reactions to Hymenoptera stings: outcome of re-stings in real-life

Bilò, Maria Beatrice
;
Martini, Matteo;
2019-01-01

Abstract

Large local reaction to Hymenoptera stings is usually defined as a swelling >10 cm which lasts longer than 24h, sometimes associated with erythema, pruritus, and blisters. Currently, the risk of subsequent systemic reactions after re-stings is considered low (2-15%). Therefore, a diagnostic work-up in case of large local reaction is often judged unnecessary, as well as adrenaline auto-injector and venom immunotherapy prescription. The aim of this study was to prospectively evaluate the outcome of re-stings in a real-world setting, in patients with a history of one previous large local reaction.
2019
Hymenoptera; large local reaction; skin test; specific IgE; venom allergy
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11566/266597
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