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Breaking down the facts behind a bee sting allergy and more!

In this episode, we delve into the world of venom allergies, focusing on allergic reactions caused by flying insects and fire ants. Our hosts are joined by Dr. Farah Khan, who shares her valuable expertise, in explaining the underlying mechanisms of allergic reactions to venom allergies. 

Bee sting allergy and others

Dr. G and Dr. Khan share which insects pose a concern, including honey bees, bumble bees, wasps, hornets, yellow jackets, and fire ants. And explain why mosquito bites rarely, if ever, lead to anaphylaxis. We explore the telltale signs of insect bites and when we should be concerned about anaphylaxis, diving into the difference between a local and systemic reaction. 

Wasp sting allergy treatment and testing

Dr. G and Dr Khan shed light on the rarity of insect sting allergies and caution against over-testing. We explore the steps an allergist takes after a patient experiences a venom reaction, including the types of tests used to diagnose and determine the suitability for immunotherapy. Additionally, we delve into the connection between venom allergies and systemic mastocytosis

Not being afraid of flying insects

It’s pretty impossible to avoid flying insects. Dr. Khan shares tips for preparing oneself to avoid stings proactively and offers advice for individuals with venom allergies who wish to enjoy outdoor activities safely. Finally, we address the fears surrounding stinging insects and provide valuable advice to help alleviate anxiety related to this issue.

What we cover in this episode:

  • What types of insects can cause a venom allergy and lead to anaphylaxis; honey bees, bumble bees, wasps, hornets, yellow jackets and fire ants.

  • Why mosquitos are not a concern for anaphylaxis.

  • What a normal versus an allergic reaction to venom looks like. Local versus systemic reactions. What is the difference, and when do you need to worry that you will potentially have an anaphylaxic reaction.

  • When should you see a doctor regarding your insect bite.

  • Why testing is not straightforward for insect stings (venom allergy): insect sting allergies are rare, and we do not want to over-test. What happens after you have reacted a venom and how to work with your allergist.

  • Only test people who have had an allergic reaction to a sting. Types of tests that would be used once you have reacted to venom. 

  • How to determine whether you are a candidate for immunotherapy. 

  • Why allergist test for systemic mastocytosis when talking about venom allergies.

  • What to do when you get stung and the best medications to take.

  • How to best prepare yourself to avoid getting stung.

  • Advice to someone afraid of a stinging insect.

Meet our guest:

Dr. Farah Khan is a board-certified allergist/immunologist specializing in pediatrics. Currently practicing at Nationwide Children's Hospital in Columbus, Ohio, she focuses on treating chronic idiopathic urticaria, severe persistent asthma, chronic rhinosinusitis, recurring infections, and allergic dermatologic conditions. Dr. Khan completed her medical education at Ross University and her pediatric residency at INOVA Children's Hospital before undertaking an Allergy/Immunology fellowship at Virginia Commonwealth University in Richmond, Virginia.

Follow her on Instagram: https://www.instagram.com/farah.khan.md/

The bee sting scenes we talk about:

Bridgerton Scene: https://youtube.com/clip/UgkxrUOiuFwCemWCbsYNOX4LFaOeWElNMKwA

My Girl: https://youtu.be/izDX7BvzDUg?t=43

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Ep. 56: Biologic Therapies for Asthma

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Ep. 54: Early Introduction of Allergens in Babies