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To the Editor.—
The article by Horen regarding insect and scorpion stings, which appeared in the Aug 21 issue of The Journal (221:894,1972), is a very fine review of the situation. I speak of the insect sting allergy, as we do not have scorpions in Minnesota.I am concerned, however, that the author, who is not a physician, did not obtain adequate medical help in writing the section on therapy. In that section he recommends the following: (1) an antihistaminic ointment; (2) the use of an aerosol spray containing pyrilamine; and (3) a spray containing calamine and diphenhydramine hydrochloride. All of these are to be used locally to reduce pain. For many years it has been known by those who have been interested in allergy problems, as well as by most physicians, that the local use of antihistaminic agents predisposes patients to hypersensitivity reactions to the drug, particularly in those
Logan GB. Allergy to Insect Stings. JAMA. 1972;222(10):1309. doi:10.1001/jama.1972.03210100057022