Insect Allergy

Question 1

A 6 year old boy was stung by a bee and developed a large, localized skin reaction. What can be said of his risk for systemic reaction to future exposure? Should he be referred to an allergist?

Answer 1

Only 10%… this reaction is actually predictive of a better outcome.

There is no need to refer to an allergist.

Question 2

A 9 year old girl was taken to hospital for an anaphylactic reaction after a wasp sting. What can be said of her risk for future reaction? What is the next step in management?

Answer 2

40% risk of future systemic reaction.

Refer her for testing and desensitization.

Question 3

How prevalent in children is insect allergy?

Answer 3

About 1%.