Amy L Parker1, Michelle L Pinson2, Wendi E Wohltmann3, Robert Gomez2. 1. Department of Allergy and Immunology, Landstuhl Regional Medical Center, Landstuhl, Germany. Electronic address: Amy.parker.1@us.af.mil. 2. Department of Allergy and Immunology, Wilford Hall Ambulatory Surgical Center, San Antonio, Texas. 3. Department of Dermatology, Landstuhl Regional Medical Center, Landstuhl, Germany.