Bee Sting Reaction

  • Charmi Patel
  • Punita PondaEmail author

Practical Points

  • A severe reaction with hymenoptera hypersensitivity mandates carrying epinephrine autoinjectors in any patient

  • If 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

  • Venom immunotherapy is extremely effective in reducing future sting reactions

  • Venom 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

  • Basal serum tryptase is important in assessemnt of the risk for future reactions, failure rates of venom immunotherapy and risk of relapse post-immunotherapy cessation


Venom immunotherapy Whole body extract Epinephrine autoinjector 


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Division of Allergy and ImmunologyDepartment of Medicine, Albany Medical Center, Albany Medical CollegeAlbanyUSA
  2. 2.Division of Allergy and Immunology, Cohen Children’s Hospital of New YorkDonald and Barbara Zucker School of Medicine at Hofstra/NorthwellGreat NeckUSA

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