[CIS PIDD] [cis-pidd] Skeeter Syndrome

[CIS-PIDD]

Hi Peter, we see children with Skeeter Syndrome quite frequently on the east coast as well. We do not consider it on the same spectrum as venom or stinging insect allergy, as there is no risk for anaphylaxis. We typically suggest desloratidine (Aeries) or cetirizine (Reactine) and a topical steroid, such as Elocom 0.1% ointment, twice daily to the bug bite.

Good luck,

Mary

Mary McHenry MD FRCPC
Paediatric Allergy and Clinical Immunology
IWK Health Centre/Dalhousie University
Halifax Nova Scotia

> On May 9, 2016, at 7:00 PM, CIS-PIDD <cis-pidd at lists.clinimmsoc.org> wrote:
> 
> 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 ... <http://www.skeetersyndrome.net/>
> www. <http://www.skeetersyndrome.net/>skeetersyndrome <http://www.skeetersyndrome.net/>.net/ <http://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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