Insect Venom Allergy
Recognizing and diagnosing insect sting allergies in children and adults – at Derma Medical Clinic in Zurich – Sihlcity
Insect Venom Allergy
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Severe swelling, shortness of breath or circulatory problems after a bee or wasp sting: We determine whether you have an insect venom allergy and discuss how you can respond correctly in an emergency and protect yourself better in the future.
Tests
Skin allergy test
if needed: blood test for confirmation
Procedure
Initial consultation incl. allergy testing
Duration
30 minutes
What is an insect sting allergy?
An insect sting allergy – often triggered by bee, wasp, or hornet venom – is an overreaction of the immune system to certain proteins in the venom. Unlike normal swelling, symptoms can affect areas far from the sting site and may even lead to a medical emergency – an anaphylactic shock.
Children can also be affected, and their reactions often come on faster, but are not always clearly recognizable. That’s why proper testing is especially important.
This test is especially recommended if you or your child …
- reacted to a bee or wasp sting with severe swelling, shortness of breath, or dizziness
- have previously needed emergency treatment – e.g. with emergency medication
- know you have an allergy but are unsure how to use the emergency kit
- often feel afraid of being stung – e.g. on planned trips, outings, or in daily life with children

What happens during the allergy testing?
First, we talk with you in detail about past reactions — calmly and, if needed, in a child-friendly setting.
Then we test whether there’s a sensitivity to insect venom:
- either with a prick test on the skin: diluted solutions (e.g. bee venom) are placed on the forearm and the skin is lightly scratched. A reaction usually appears within 15–20 minutes.
- or with a blood test, which can detect specific antibodies against bee or wasp venom
What if the diagnosis is confirmed?
If the test shows an increased risk for a severe allergic reaction, you’ll receive:
- a customized emergency kit (including adrenaline pen, allergy meds, and cortisone)
- an easy-to-follow guide so you or your child can respond correctly in an emergency
- if suitable: desensitization to reduce risk over the long term
How does the testing work?
Initial consultation
We’ll take time to understand your symptoms – or those of your child – in detail. Previous reactions and known allergies are also considered.
Allergy test
In the prick test, diluted allergen solutions are applied to your forearm and the skin is lightly scratched. Within 15–20 minutes, we’ll see if a reaction occurs.
Blood test
If skin testing isn’t possible, or further details are helpful, we take a blood sample. This helps us detect allergy-related antibodies and confirm the diagnosis.
Evaluation & recommendation
If you’re at increased risk, we’ll give you a doctor-prescribed emergency kit, along with clear instructions on how to use it safely.
Long-term approach
Everyday safety strategies — for example, on outings, trips, or at school. If desensitization is an option, we’ll explain how it works and when it makes sense.

At Derma Medical Clinic, allergy treatments are provided by Dr. Markus Dendorfer, dermatologist and allergy specialist.
He has many years of experience diagnosing and treating allergic conditions, from hay fever to complex allergic reactions.

Dr. Benjamin Miller
Board-certified Specialist in Dermatology and Venereology FMH

Dr. med. Markus Dendorfer
Board-certified Specialist in Dermatology and Venereology FMH
What to expect from us
Identify allergies
We test precisely for insect venom and rule out other causes, even if symptoms are unclear.
Child-friendly testing & support
We treat children gently, explain things in age-appropriate ways, and guide families with clarity and empathy.
Clear emergency plans
You’ll not only receive an emergency kit — we explain how to use it, run through emergency scenarios, and answer all your questions, including those from family members or carers.
Everything in one place
You get diagnosis, medical treatment, and aesthetic care all in one place. That means clear points of contact, short waiting times, and coordinated support from first check to follow-up.
Strong reaction after an insect sting? We’ll test for allergies and equip you or your child with a clear emergency plan.
Book your allergy testing appointment now at Derma Medical Clinic in Zurich - Sihlcity.
FAQ – Common questions about insect sting allergy
What is an insect sting allergy?
An insect sting allergy is an overreaction of the immune system to venom from insects such as bees, wasps, or hornets. Unlike normal swelling, it can cause skin problems, trouble breathing, or circulation issues.
What symptoms suggest an allergic reaction after an insect sting?
Typical signs include:
- large areas of swelling (even far from the sting)
- skin rash, hives, or itching
- shortness of breath, coughing, or a tight chest
- dizziness, nausea, or circulatory problems
- in severe cases: loss of consciousness
These symptoms usually develop within minutes and up to one hour after the sting.
How is an insect sting allergy diagnosed?
We use either a prick test (skin test with insect venom solutions) or a blood test. The best method depends on previous reactions and the person’s age.
Can children have an insect sting allergy?
Yes, children can also be affected. Their reactions may come on fast and strong, but are often underestimated. Early testing helps avoid dangerous situations and gives parents more confidence.
What should be in an emergency kit for insect sting allergy?
A doctor-prescribed emergency kit typically includes:
- an adrenaline auto-injector (e.g. Epipen)
- an antihistamine
- a corticosteroid preparation
- possibly an asthma spray if breathing issues are known
We explain exactly how and when to use these medications — also for parents and caregivers.
Can you prevent an insect sting allergy?
You can lower your risk by avoiding allergens (e.g. wearing protective clothing, covering food outdoors) and through a desensitization treatment, where your immune system is gradually trained to tolerate the allergen. This can significantly reduce severe reactions.
What's the difference between desensitization and hyposensitization?
Medically, desensitization and hyposensitization mean the same: a special therapy where your body is gradually exposed to the allergen. The goal is to reduce or completely prevent allergic reactions over time. “Hyposensitization” is more common in medical language, “desensitization” in everyday speech.
Is an insect sting allergy curable?
It’s not curable in the classic sense, but with the right approach (emergency kit, behavioral tips, possibly desensitization), the risk can be well controlled and everyday life made safer.