Thank you for your inquiry.
I agree with you that the patient described is a candidate for immunotherapy and would personally treat him with venom immunotherapy. This is in keeping with the recommendations of the most recent Parameters regarding hymenoptera sensitivity (see quote below) (1).
“… venom immunotherapy is generally recommended for patients older than 16 years with systemic reactions limited to the skin.”
Thank you again for your inquiry and we hope this response is helpful to you.
Golden DBK, et al. Stinging insect hypersensitivity: a practice parameter update 2011. J Allergy Clin Immunol 2011; 127(4):852-854.
Phil Lieberman, M.D.