Bee Sting Reaction

Abstract

A severe reaction with hymenoptera hypersensitivity mandates carrying epinephrine autoinjectors in any patient \n \n \nIf initial skin testing is negative in a patient with systemic reaction, further testing should be pursued with in vitro testing and repeating skin testing a few weeks later \n \n \nVenom immunotherapy is extremely effective in reducing future sting reactions \n \n \nVenom immunotherapy should be recommended to patients with systemic reactions, large local reactions with frequent exposure, impaired quality of life, or underlying medical conditions such as mast cell disorder \n \n \nBasal serum tryptase is important in assessemnt of the risk for future reactions, failure rates of venom immunotherapy and risk of relapse post-immunotherapy cessation