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August 5, 1974

Hymenoptera Stings

Author Affiliations

Rhode Island Hospital Providence

JAMA. 1974;229(6):638. doi:10.1001/jama.1974.03230440013006

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To the Editor.—  We would like to comment on the statement that 53% of 249 patients with Hymenoptera allergy were atopic. A history of hives, drug rash, and infantile colic are included as evidence of atopy, and these diagnoses are not accepted as indicating atopy by most authorities. The frequency of hives was the same in atopic and nonatopic individuals.The Insect Allergy Committee of the American Academy of Allergy reported that 27% of 2,606 patients with Hymenoptera allergy had a personal history of hay fever, asthma, or other specific evidence of atopy (193:115, 1965). In addition, they stated that of the severe reactors, 19% had a personal history of atopy.In two different studies done by different authors on college students, a personal history of asthma and allergic rhinitis was found in 25% of 1,836 students in one study (J Allergy 44:323, 1969) and 19.1% out of 434 students