[CIS PIDD] [cis-pidd] Skeeter Syndrome

[CIS-PIDD]

PS:   I asked Dr Peng to help us on a case and she ran an ELISA with pure antigen.



Charlotte Cunningham-Rundles, MD, PhD

Departments of Medicine and Pediatrics

The David S Gottesman Professor

The Immunology Institute

Mount Sinai School of Medicine

1425 Madison Avenue

New York, NY 10029

Phone: 212 659 9268

Fax: 212 987 5593

Email: Charlotte.Cunningham-Rundles at mssm.edu


From: "cis-pidd at lists.clinimmsoc.org<mailto:cis-pidd at lists.clinimmsoc.org>" <cis-pidd at lists.clinimmsoc.org<mailto:cis-pidd at lists.clinimmsoc.org>>
Reply-To: CIS-PIDD <cis-pidd at lyris.dundee.net<mailto:cis-pidd at lyris.dundee.net>>
Date: Monday, May 9, 2016 at 6:00 PM
To: CIS-PIDD <cis-pidd at lyris.dundee.net<mailto:cis-pidd at lyris.dundee.net>>
Subject: Re: [cis-pidd] Skeeter Syndrome

Hi Peter,

Welcome to the PIDD list. I have seen a few patients with large local reactions that I have empirically treated as Skeeter syndrome with the combination of icing the site, a single dose of prednisone, ibuprofen and cetirizine ASAP when insect repellents fail or are not used. I have not pursued diagnostic work-up because commercial tests are to whole mosquito and not very useful. There is not much published on this topic, but here is a paper that describes the best scientific work that was coincidentally done at your neck of the woods. You may be able to touch base with the authors directly and see if they can help you any further.

Best regards,
sc

Soheil Chegini, MD
Exton Allergy & Asthma Associates
656 West Lincoln Hwy.
Exton, PA 19341
Phone: (610) 269-3066
Fax: (610) 269-8615

________________________________
From: CIS-PIDD <cis-pidd at lists.clinimmsoc.org<mailto:cis-pidd at lists.clinimmsoc.org>>
To: CIS-PIDD <cis-pidd at lyris.dundee.net<mailto:cis-pidd at lyris.dundee.net>>
Sent: Monday, May 9, 2016 5:23 PM
Subject: [cis-pidd] Skeeter Syndrome

Dear Colleagues

This is my inaugural posting to the PIDD list server! I see that many of you have allergy practices as well as PIDD interest. I have not done allergy but have combined clinical immunology with  rheumatology.

Skeeter Syndrome is an allergy to mosquito saliva. It can present with extreme swelling, itching, blistering, infection, fever and in some cases anaphylactic shock, asthma and cellulitis.
Mosquito Bite Allergy | Skeeter Syndrome |Skeeter ...<https://urldefense.proofpoint.com/v2/url?u=http-3A__www.skeetersyndrome.net_&d=AwMFaQ&c=4R1YgkJNMyVWjMjneTwN5tJRn8m8VqTSNCjYLg1wNX4&r=QGeqhJvykW4yvKu3feHGV3OR4Jd0_7mLxxRziSb0VN09Y3JhLYqM2xTrIP4WRFJr&m=3WTy8C83Y5ZSc6xTM-8l8TaUIMgoMTDBhNsIkpeK474&s=du8OKseia-KE0c4tyZgj_0kW49AA1V2tRDZ48UbSLJM&e=>
www.skeetersyndrome.net/


I have a question about an entity which is called Skeeter syndrome in the North America and is an unusual response to insect  bites, most commonly mosquitoes.

Do you acknowledge the existence of this entity?

Is this just one end of the spectrum of insect allergy or is there a different pathogenesis .....and treatment?


Peter B. Dent MD, FRCPC
Professor, Pediatrics, McMaster University
Division of Rheumatology & Immunology
McMaster Childrens' Hospital
1280 Main St W. L8S 4K1
Phone:  905-521-2100 ext 75382
FAX: 905-521-4968
E-mail: dentpb at mcmaster.ca<mailto:dentpb at mcmaster.ca>



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