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Arzt, L; Bokanovic, D; Schwarz, I; Schrautzer, C; Massone, C; Horn, M; Aberer, W; Sturm, G.
Hymenoptera stings in the head region induce impressive, but not severe sting reactions.
Allergy. 2016; 71(11):1632-1634 Doi: 10.1111/all.12967
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Führende Autor*innen der Med Uni Graz
Arzt-Gradwohl Lisa
Sturm Gunter
Co-Autor*innen der Med Uni Graz
Aberer Werner
Bokanovic Danijela
Horn Michael
Massone Cesare
Schrautzer Christoph
Schwarz Ines
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Abstract:
Stings in the head region are considered to be a risk factor for severe systemic reactions to hymenoptera stings. We supposed that stings in skin areas, which are well supplied with blood, lead to more severe reactions and tested our hypothesis in 847 patients with confirmed hymenoptera venom allergy. However, symptom severity was independent from sting site: only 16.3% of patients with severe reactions were stung on the head (P = 0.017). But we confirmed age > 40 years (P < 0.001) as well as elevated basal tryptase levels (P = 0.001) as risk factors. Taking antihypertensive drugs seemed to have an influence: 41.7% of patients taking antihypertensive drugs experienced a severe reaction compared to 29.5% of patients, not taking such drugs (P = 0.019). However, considering patients' age in regression analysis, taking antihypertensive drugs had no effect on symptom severity (P = 0.342). Importantly, in most patients with severe reactions, cutaneous signs were absent (P < 0.001). © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
Find related publications in this database (using NLM MeSH Indexing)
Adolescent -
Adult -
Aged -
Aged, 80 and over -
Allergens - immunology
Animals -
Arthropod Venoms - immunology
Biomarkers -
Child -
Female -
Humans -
Hymenoptera - immunology
Insect Bites and Stings - diagnosis
Insect Bites and Stings - epidemiology
Insect Bites and Stings - immunology
Male -
Middle Aged -
Severity of Illness Index -
Skin - immunology
Skin - pathology
Symptom Assessment -
Young Adult -

Find related publications in this database (Keywords)
age
antihypertensive drugs
head
severe systemic sting reaction
sting localization
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