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Modified rush venom immunotherapy in dogs with Hymenoptera hypersensitivity
Journal article   Open access   Peer reviewed

Modified rush venom immunotherapy in dogs with Hymenoptera hypersensitivity

Alexandra Moore, Amanda K. Burrows, Wayne S. Rosenkrantz, Rudayna M. Ghubash and Giselle Hosgood
Veterinary dermatology, Vol.34(6), pp.532-542
2023
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CC BY-NC-ND V4.0 Open Access

Abstract

Background Hymenoptera envenomation occurs frequently in people and dogs and can trigger anaphylaxis. Venom immunotherapy (VIT) is the only preventive treatment for Hymenoptera hypersensitivity and is indicated for people with severe adverse reactions to insect stings. Rush VIT is an accelerated VIT protocol in people. This has not been reported in dogs. Objectives The objective of the study was to evaluate the safety of modified rush VIT. Animals Twenty client-owned dogs with Hymenoptera hypersensitivity based on a history of adverse reactions to Hymenoptera envenomation and a positive intradermal test to honey bee and/or paper wasp venom. Materials and Methods Dogs received incremental doses of venom via subcutaneous injection one day per week for three consecutive weeks until the maintenance dose was achieved. Vital signs were recorded every 30 min prior to venom administration. Adverse reactions were categorised as localised or grade I–IV systemic reactions. Results Nineteen of 20 dogs (95%) completed rush VIT. One dog experienced a grade III systemic adverse reaction and was withdrawn from the study. No adverse reactions occurred in 10 of 20 dogs (50%). Localised and grade I–II systemic reactions occurred in nine of 20 dogs (45%), including nausea (n = 5), injection site pruritus (n = 3) and diarrhoea and lethargy (n = 1). Conclusions and Clinical Relevance Modified rush VIT in dogs was well-tolerated and should be considered for dogs with Hymenoptera hypersensitivity. Larger studies are needed to evaluate the efficacy of VIT in dogs for preventing hypersensitivity reactions to insect stings.

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Collaboration types
International collaboration
Citation topics
1 Clinical & Life Sciences
1.65 Allergy
1.65.264 Allergy Mechanisms
Web Of Science research areas
Dermatology
Veterinary Sciences
ESI research areas
Plant & Animal Science
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