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Mock, B. A.; Peiker, G.; Markert, U. R.; Jager, L.
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Specific immunotherapy (hyposensitization) with insect venom in pregnancy | Title |
Z Geburtshilfe Neonatol 2000, 204(3), 117-119
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| Insects, Allergy, Therapy, Immunotoxicology, Pregnancy
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| BACKGROUND: Pregnancy typically prohibits the specific immunotherapy (SIT) of various allergic conditions, with the exception of pre- existing Hymenoptera venom allergies. International consensus currently recommends the continuation of a well-tolerated SIT with insect venom during pregnancy, since there is a significant risk of anaphylaxis after insect stings with potentially dismal outcomes for mother and fetus.
CASE REPORT: We report on a 28-year old woman, becoming pregnant during specific immunotherapy with Hymenoptera venom. SIT was continued during pregnancy and a premature birth occurred at the 24th week.
DISCUSSION AND CONCLUSION: Unfortunately, there are still conflicting opinions in Germany regarding SIT during pregnancy, and the decision to perform such therapy is entirely based on knowledge and/or level of comfort of the primary physician. Thus, obstetricians should closely work together with an allergologist in cases of pregnant women with insect sting allergies. Author.
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