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Vol. 146, No. 2, 2008
Issue release date: May 2008
Section title: Short Communication
Int Arch Allergy Immunol 2008;146:162–163
(DOI:10.1159/000113520)

Fatal Anaphylactic Sting Reaction in a Patient with Mastocytosis

Wagner N. · Fritze D. · Przybilla B. · Hagedorn M. · Ruëff F.
aHautklinik und bMedizinische Klinik, Klinikum Darmstadt, Darmstadt, und cKlinik und Poliklinik für Dermatologie und Allergologie, Ludwig-Maximilians-Universität, München, Deutschland

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Article / Publication Details

First-Page Preview
Abstract of Short Communication

Received: 6/4/2007
Accepted: 9/11/2007
Published online: 1/18/2008

Number of Print Pages: 2
Number of Figures: 0
Number of Tables: 0

ISSN: 1018-2438 (Print)
eISSN: 1423-0097 (Online)

For additional information: http://www.karger.com/IAA

Abstract

We report on a 33-year-old female patient with indolent systemic mastocytosis and urticaria pigmentosa who died of an anaphylactic reaction after a yellow jacket sting. As she had no history of previous anaphylactic sting reaction, there was no testing performed in order to detect hymenoptera venom sensitization. But even if a sensitization had been diagnosed, no venom immunotherapy (VIT) would have been recommended. It is almost certain that VIT would have saved her life and it is most likely that VIT is indicated in some patients with mastocytosis with no history of anaphylactic sting reaction. However, no criteria have been established in order to allow a selection of mastocytosis patients eligible for such a ‘prophylactic’ VIT.


Article / Publication Details

First-Page Preview
Abstract of Short Communication

Received: 6/4/2007
Accepted: 9/11/2007
Published online: 1/18/2008

Number of Print Pages: 2
Number of Figures: 0
Number of Tables: 0

ISSN: 1018-2438 (Print)
eISSN: 1423-0097 (Online)

For additional information: http://www.karger.com/IAA


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Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in goverment regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
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