Scopus
🔓 Açık Erişim YÖKSİS Eşleşti
Frequent Bee Stings May Promote More Severe Allergic Reactions in Children with Large Local Reactions
Asthma Allergy Immunology · Ocak 2023
YÖKSİS Kayıtları
Frequent Bee Stings May Promote More Severe Allergic
Reactions in Children with Large Local Reactions
Asthma Allergy Immunol · 2023 ESCI
DOÇENT İLKNUR KÜLHAŞ ÇELİK →
Makale Bilgileri
DergiAsthma Allergy Immunology
Yayın TarihiOcak 2023
Cilt / Sayfa21 · 128-134
Scopus ID2-s2.0-85169470770
Erişim🔓 Açık Erişim
Özet
Objective: Risk of severe systemic reactions(SR) with subsequent hymenoptera stings for patients who had a large local reaction (LLR) or only cutaneous symptoms is considered to be negligible but recent studies report cases who have experienced more severe reactions. We aimed to evaluate the frequency of reactions that are more severe than previous ones after re-sting for children with hymenoptera venom hypersensitivity reactions. Materials and Methods: Children who had attended four pediatric allergy clinics for reactions due to hymenoptera sting were questioned for previous and subsequent stings by phone call. Number of stings, characteristics of reactions, type of bee were recorded. Whether they had a reaction more severe than the first reaction with subsequent stings was evaluated. Results: By phone call, 148 children who had LLR or SR were contacted. Of these 55 had a subsequent sting after LLR or SR and 49 had had reactions more than once. In 29 patients (59.1%), there was a more severe subsequent reaction. Twenty (52.6%) of 38 children with LLR had Grade II-III SR with subsequent stings. Age, gender, type of hymenoptera, living place, presence of concomitant allergic reaction in children and/or parents of patients who had or did not have a more severe reaction with subsequent stings were not different between two groups. Median number of hymenoptera stings and sequence of the subsequent sting causing the most severe reaction were higher among patients who had a more severe reaction (p<0.001, p<0.001 respectively). Conclusion: Our results show that we may be underestimating the risk of more severe reactions with subsequent stings for children.
Yazarlar (10)
1
Muge Toyran
ORCID: 0000-0002-2490-0551
2
Ilknur Kulhas Celik
ORCID: 0000-0003-3812-9654
3
Hakan Guvenir
ORCID: 0000-0001-7659-5221
4
Selime Ozen
ORCID: 0000-0002-7156-7480
5
Sehra Birgul Batmaz
ORCID: 0000-0003-1913-5346
6
Selin Tasar
ORCID: 0000-0002-0727-9572
7
Demet Can
ORCID: 0000-0002-1258-9348
8
Ersoy Civelek
ORCID: 0000-0002-1780-4801
9
Emine Dibek Misirlioglu
ORCID: 0000-0002-3241-2005
10
Can Naci Kocabas
ORCID: 0000-0001-8859-7187
Anahtar Kelimeler
hymenoptera venom
hypersensitivity
Large local reaction
severe systemic reactions
Kurumlar
Ankara City Hospital
Ankara Turkey
Balikesir Üniversitesi
Balikesir Turkey
Malatya Training and Research Hospital
Malatya Türkiye
Muğla Sıtkı Koçman Üniversitesi
Mugla Turkey
Tokat State Hospital
Tokat Turkey
University of Health Sciences
Istanbul Turkey
Metrikler
1
Atıf
10
Yazar
4
Anahtar Kelime