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Tabanidae insect (horsefly and deerfly) allergy in humans: A review of the literature
Author(s) -
Whyte Andrew F.,
Popescu FlorinDan,
Carlson John
Publication year - 2020
Publication title -
clinical and experimental allergy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.462
H-Index - 154
eISSN - 1365-2222
pISSN - 0954-7894
DOI - 10.1111/cea.13677
Subject(s) - allergy , anaphylaxis , medicine , identification (biology) , sensitization , intensive care medicine , immunology , biology , ecology
Allergy to insects of the family Tabanidae (order Diptera), commonly called horseflies or deerflies, is anecdotally common, although the published literature is limited to case reports and small case series. This review summarizes the available literature, in which there is enormous variability in clinical detail, identification of species or even genus, and means and thoroughness of assessment of sensitization. The clinical utility of in vivo and in vitro assays remains unclear. Investigation and management of patients reporting anaphylaxis to suspected bites must therefore be pragmatic, by considering other insects (eg Hymenoptera), provision of a written action plan and self‐injectable adrenaline if appropriate, and advice on avoidance.

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