HYMENOPTERA VENOM IMMUOTHERAPY

FCAAIA Notes: Stinging flying insect allergy is one of the most curable things allergists treat. ANYONE and EVERYONE who has had anaphylaxis after a wasp, honey bee, yellow jacket, hornet, or fire ant sting should be seen by an allergist. In addition, people older than 15 years who are stung and get diffuse hives or swelling should be seen. In accordance with well-established research, all those patients should receive venom immunotherapy to dramatically decrease their likelihood of another life-threatening reaction after a sting. The bees will be out soon! Call to set up an evaluation for yourself or a loved one with a history of bee-sting allergy.

(Source: Medscape, March 29, 2011 http://www.medscape.com/viewarticle/739777?src=mp&spon=38 )

ABSTRACT: Subcutaneous venom immunotherapy is the only effective treatment for patients who experience severe hymenoptera sting-induced allergic reactions, and the treatment also improves health-related quality of life. This article examines advances in various areas of this treatment, which include the immunological mechanisms of early and long-term efficacy, indications and contraindications, selection of venom, treatment protocols, duration, risk factors for systemic reactions in untreated and treated patients as well as for relapse following cessation of treatment. Current and future strategies for improving safety and efficacy are also examined. However, although progress in the past few years has been fruitful, much remains to be accomplished. (see link above for full article).

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