In many European centers insect venom allergic patients with a reaction confined to the skin are only offered an epinephrine auto-injector and not venom immunotherapy (VIT). Previously we showed that VIT improves health-related quality of life (HRQL) of yellow jacket allergic patients with more than dermal reactions.
Department of Internal Medicine, Division of Allergy, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands. j.n.g.oude.elberink@int.umcg.nl