Tabanidae insect (horsefly and deerfly) allergy in humans: A review of the literature

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 c...

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Bibliographic Details
Published inClinical and experimental allergy Vol. 50; no. 8; pp. 886 - 893
Main Authors Whyte, Andrew F., Popescu, Florin‐Dan, Carlson, John
Format Journal Article
LanguageEnglish
Published England Wiley Subscription Services, Inc 01.08.2020
Subjects
Allergies
Anaphylaxis
Case reports
Epinephrine
Insect bites
Literature reviews
Tabanidae
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Summary: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.
Bibliography:ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-3
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ObjectType-Review-1
ISSN:0954-7894
1365-2222
DOI:10.1111/cea.13677