LetterDelayed-onset cold anaphylaxis after hymenoptera sting
References (8)
Cold urticaria syndromes: historical background, diagnostic classification, clinical and laboratory characteristics, pathogenesis, and management
J Allergy Clin Immunol
(1990)- et al.
The spectrum of acquired and familial cold-induced urticaria/urticaria-like syndromes
Immunol Allergy Clin N Am
(2004) - et al.
Modern approaches to the diagnosis and treatment of cold contact urticaria
Curr Allergy Asthma Rep
(2010) - et al.
Clinical predictive factors of severity in cold urticaria
Arch Dermatol
(1998)
Cited by (8)
Approach to Patients with Stinging Insect Allergy
2020, Medical Clinics of North AmericaCitation Excerpt :In contrast, those with anaphylaxis to a stinging insect have a high risk of future anaphylactic reactions (30%–60%).7,22,23 Serum sickness–like reactions24 and cold urticaria25 have been reported after insect stings. In addition, there are rare reports of non–IgE-mediated reactions to stinging insects, including nephropathy,26 neuropathy,27 rhabdomyolysis,28 and immune thrombocytopenic purpura.29
Delayed stinging insect reactions
2017, Annals of Allergy, Asthma and ImmunologyStinging insect hypersensitivity: A practice parameter update 2016
2017, Annals of Allergy, Asthma and ImmunologyCitation Excerpt :Serum sickness–like reactions to stings have occurred and may be associated with the presence of venom-specific IgE, but the mechanism of the reactions and the risk of anaphylaxis are unknown.60 Cold urticaria and cold-induced anaphylaxis have been reported after insect stings, generally without anaphylaxis.61,62 The prevalence of LLRs in the general population is approximately 10%, with estimates ranging from 2.4% to 26.4%, and higher among beekeepers (14%–43%).56,63
Insect sting allergy
2016, Pediatric Allergy: Principles and Practice: Third EditionAnaphylaxis to insect stings
2015, Immunology and Allergy Clinics of North AmericaCitation Excerpt :Although the definition of anaphylaxis seems to exclude reactions involving only cutaneous systemic manifestations (urticaria, angioedema, pruritus, flush), these are included in this article because they must be considered in diagnosis and treatment of insect allergy as potential precursors of more severe anaphylactic reactions. There are also reports of chronic urticaria and cold urticaria developing after insect stings, usually without any immediate hypersensitivity reaction, and with uncertain risk of anaphylaxis to a future sting.2,3 Unusual patterns of reaction have also been reported, including nephropathy, central and peripheral neurologic syndromes, idiopathic thrombocytopenic purpura, and rhabdomyolysis, but these are not IgE related.4
Prevalence, Clinical Manifestations, Treatment, and Clinical Course of Chronic Urticaria in Elderly: A Systematic Review
2022, Journal of Asthma and Allergy
Disclosures: Authors have nothing to disclose.