par Thimpont, Joël 
;Mairesse, Michel
Référence Revue médicale de Bruxelles, 40, 4, page (230-236)
Publication Publié, 2019
;Mairesse, MichelRéférence Revue médicale de Bruxelles, 40, 4, page (230-236)
Publication Publié, 2019
Article révisé par les pairs
| Résumé : | Specific IgE-mediated allergic reactions to hymenoptera venoms (honey bee, wasp) can be systemic and life-threatening. The sting reactions can also be mild and restricted to the skin/mucosa. The prevalence of systemic sting reactions ranged from 0.3 to 7.5 % in adult population and from 14 to 43 % for beekeepers and less common among children (3.5 %). In the case of anaphylaxis, the patient should use quickly an adrenaline auto-injector. In case of severe systemic reaction, venom immunotherapy can be recommended and especially in patients with cardiovascular disease, asthma or mastocytosis. A careful personal history should be taken, venom specific IgE and allergenic molecules should be determined. Venom immunotherapy should be performed for at least five years, after discussion with the patients. |
