PEDIATRICS Vol. 98 No. 2 August 1996, pp. 320
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SUBSEQUENT INSECT STINGS IN CHILDREN WITH HYPERSENSITIVITY TO HYMENOPTERA

John M. James MD1

1 Little Rock, AR

The authors concluded that the dual sting challenge scheme appears to be the best predictor of reactions to subsequent insect stings. The procedure did not significantly increase the individual patient's sensitivity to future stings, and the data demonstrated a lower frequency of subsequent systemic reactions than expected on the basis of history or predicted by in vitro sensitization markers, or both. They also stated that this scheme should be useful in select patients with an uncertain sensitization status for purposes of beginning or discontinuing venom immunotherapy.