Stinging Insect Allergy

There are some people who are allergic to insectabout treatment options.
stings; this means that their immune systemsInsect-sting or insect-bite venom can be among the
overreact to the venom injected by a stinging insect.most dangerous allergens. Most people who are stung
The venom of stinging insects contains severalby bees, yellow jackets, hornets, wasps and fire ants
chemicals which, when introduced through a sting,have little to fear. At worst, these individuals may
triggers the release of histamine causing local tissueexperience mild pain, swelling and itching at the site
damage and other chemicals that cause allergicof the sting. An individual does not suffer an allergic
symptoms. After the first sting, the allergic person'sreaction the first time they are stung by an insect.
body produces an allergic substance calledInstead, the initial encounter leads to sensitization, in
Immunoglobulin E (IgE) antibody, which reacts withwhich the immune system overreacts to the insect
the insect venom. If he or she is stung again by anvenom and creates immunoglobulin E (IgE) antibodies
insect of the same or similar species, the insectto fight it. These antibodies trigger an allergic reaction
venom interacts with the IgE antibody produced inthe next time the body encounters the insect
response to the earlier sting.venom.
The resulting tissue damage is largely responsible forThe next time a person is stung, these antibodies
the pain, swelling, redness, and itching that wecause mast cells to release chemicals such as
experience at the site of a sting. Although most localhistamine, which can cause inflammation within the
reactions are mild and cause swelling and inflammationbody. Highly allergic individuals may experience
localized around the sting site, the area of swellinganaphylaxis, in which fluid leaks from the bloodstream
and inflammation can be quite large. For example, oneinto the tissues, causing swelling and lowering blood
may be stung on the finger, yet the swelling maypressure. Bronchial tissues may also swell, causing
progress to include the entire arm. Both of thesebreathing difficulties. Stinging insects found in the
reactions, by virtue of the fact that they areUnited States include honeybees, yellow jackets,
contiguous with the sting site, are considered localhornets, wasps, and fire ants. While not everyone is
allergic reactions.allergic to insect venom, reactions in the skin such as
For a small number of people with severe venommild pain, swelling, and redness may occur with an
allergy, stings may be life-threatening; insectsinsect sting. Most sting reactions are caused by five
belonging to the class Hymenoptera are capable oftypes of insects: yellow jackets, honeybees, paper
injecting venom into humans and animals. Severewasps, hornets and fire ants.
allergic reactions to insect stings can involve manyHowever, those with allergies to the venom are likely
body organs and may develop rapidly. This reaction isto experience more pronounced effects. A mild
called anaphylaxis. Symptoms of anaphylaxis mayallergic reaction may result in nausea, greater swelling
include itching and hives over large areas of theand other discomforts. At the other extreme, a rare
body, swelling in the throat or tongue, difficultyreaction called anaphylactic shock can impair breathing
breathing, dizziness, stomach cramps, nausea orand heart functions, leading to death in some victims.
diarrhea. In severe cases, a rapid fall in blood pressureUnfortunately, most people do not know that they
may result in shock and loss of consciousness.are allergic until after they experience an allergic
Anaphylaxis is a medical emergency, and may bereaction. It is better to destroy the hive or nest of
fatal. If you or anyone else experiences any of thesethe familiar insects causing the allergy. The insects
symptoms after an insect sting, obtain emergencyusually bite when disturbed so it is better to move
medical treatment immediately. After your symptomsaway slowly as you encounter any flying stinging
are treated in the emergency room, you should alsoinsect.
obtain referral to an allergist/immunologist to learn