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Previous Volume 351:1978-1984 November 4, 2004 Number 19 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author's clinical recommendations.

A 29-year-old man reported that he was stung by a flying hymenopteran — he does not know what type — outside his door, where he had previously noted a nest. Skin itching, diffuse hives, swelling of his arms and legs, tightness in his throat, dizziness, and difficulty talking developed immediately, and he was taken to a local clinic where he received epinephrine . . . [Full Text of this Article]

The Clinical Problem

Strategies and Evidence

Immediate Therapy

Long-Term Therapy

            Avoidance

            Immunotherapy

            Evaluation

            Therapy

Areas of Uncertainty

Guidelines

Summary and Conclusions

Source Information

From the Department of Allergy and Immunology, Wilford Hall Medical Center, Lackland Air Force Base, San Antonio, TX.

Address reprint requests to Dr. Freeman at the Department of Allergy and Immunology, Wilford Hall Medical Center, Lackland Air Force Base, San Antonio, TX, 78023, or at tfree95900@aol.com.

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