Allergy, Asthma & Respiratory Disease  2016;4(4):305-307

doi:10.4168/aard.2016.4.4.305

Unusual reaction to Hymenoptera stings.

Suk Hwan IN 1 ; Young Cheol SHIN ; Eui Kwon HWANG ; Hae Won YOU ; Jun IL KIM ; June Hyuck PARK ; An Soo JANG

Affiliations

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Keywords

Hymenoptera; Bites and stings; Edema

Country

Republic of Korea

Language

Korean

Abstract

Reactions to Hymenoptera stings are classified into local reactions, large local reactions, systemic anaphylactic reactions, systemic toxic reactions, and unusual reactions. They are also classified into immediate and delayed reactions. The most frequent clinical patterns are large local and systemic anaphylactic reactions. The skin, and the gastrointestinal, respiratory, and cardiovascular systems can be involved. A variety of unusual or unexpected reactions, such as acute encephalopathy, acute renal failure, nephrotic syndrome, silent myocardial infarction, diffuse alveolar hemorrhage, rhabdomyolysis, and cataracts, occur in a temporal relationship to insect stings. Here, we report a 31-year-old woman with delayed generalized edema, weight gain, and unusual reactions 24 hours after bee sting.