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Official Canadian Paediatric Society document (2018) on “Stinging insect hypersensitivity: Evaluation and management in children and youth”. There are two types of IgE-mediated reactions to stinging insects: large local reactions and systemic reactions. Acute management of large local reactions is symptomatic and a patient history of a large local reaction does not indicate need for an epinephrine auto-injector or venom immunotherapy. By contrast, acute management of systemic reactions requires intramuscular epinephrine. Long-term management includes pres.
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