Thread by @AllergyKidsDoc

The #FirstDayofSummer means increasing outdoor activities and tis the season for stings.

Many people are misdiagnosed as having venom allergy...and others with true allergy do not receive proper treatment.

I'll address some misconceptions in this thread ⬇️ #FridayThoughts

Venom is naturally irritating - a NORMAL response after being stung is redness, swelling, pain, itching.

Treatment is supportive with ice, pain meds, antihistamines.
This is not infection (no need for antibiotics). This does not increase risk for future allergy.

Large local reactions are common: Exaggerated swelling at the same body part that was stung. I get these with stings - makes my hand swell twice normal size.

Also not an allergy. Treatment is supportive with ice, pain meds, antihistamines.

Generalized hives after being stung is worrisome in adults > 16 yrs old but not in children.
Adults with this story should be evaluated with allergy testing & consider immunotherapy.
Kids not at increased risk for future anaphylaxis.

ANYONE who has had anaphylaxis after being stung should be evaluated by an allergist with venom allergy testing and consideration for immunotherapy.

Prior anaphylaxis from venom = high risk for future anaphylaxis. Immunotherapy can dramatically decrease that risk to < 10%.

Venom allergy testing has a lot of false positive results, which can lead to unnecessary use of allergy shots. Skin test preferable to blood testing.

Venom allergy is NOT inherited - no need to test siblings/children.
Also no reason to test "just to make sure".

It is well known that suspected identification of the stinging insect is often incorrect.

Venom allergy testing must include honey bees, wasps, hornets and yellow jackets.

Honey bees are the only stinging insect that typically leaves stinger in place - it is barbed and attached to the abdominal cavity. Bees often die after stinging, partly why they are docile and don't sting unless provoked.

Don't squeeze the stinger! There's still venom in sac

Avoidance measures should be a part of any allergy management plan, but not always easy with venom. Some easy steps to take to avoid future stings.

I, for one, never drink out of a can left outdoors - I don't want to swallow a curious yellow jacket!

As always, this thread should never replace medical advice from your personal doctor or clinician. Hopefully this info clarified some common misconceptions.

I hope everyone has a fun filled summer without any stings!