Abstract
The prevalence of anaphylactic reactions to hymenoptera stings is estimated to be between 0.3 and 7.5%. Although allergists are mainly interested in generalized reactions, the development of knowledge about widespread local reactions may change their practice. Risk factors such as age, the existence of underlying pathologies, particularly cardiovascular, mastocytosis, and the severity of the previous reaction are well documented. On the other hand, the traditionally accepted aggravating role of beta-blockers and ACE inhibitors is questioned. Changes in climate and world trade influence the distribution of insects on the planet, and explain the northward migration of the polistes wasp, and the appearance in our regions of the “Asian hornet”. The new classification of diseases (ICD 11) should allow us to better understand the reactions to these insects.
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