Practical algorithm for diagnosing patients with recurrent wheals or angioedema

被引：47

作者：

Maurer, M. ^{[1
]}

Magerl, M. ^{[1
]}

Metz, M. ^{[1
]}

Siebenhaar, F. ^{[1
]}

Weller, K. ^{[1
]}

Krause, K. ^{[1
]}

机构：

[1] Charite, Dept Dermatol & Allergy, Allergie Ctr Charite, D-10117 Berlin, Germany

来源：

ALLERGY | 2013年 / 68卷 / 06期

关键词：

angioedema; autoinflammatory; bradykinin; interleukin-1; urticaria; URTICARIAL VASCULITIS; FOLLOW-UP; DEFINITION; EDEMA;

D O I：

10.1111/all.12153

中图分类号：

R392 [医学免疫学];

学科分类号：

100108 [医学免疫学];

摘要：

Background Chronic urticaria is a common disorder characterized by recurrent wheals, angioedema, or both. Several differential diagnoses need to be considered in patients presenting with wheals and/or angioedema. These include rare diseases such as autoinflammatory syndromes and urticarial vasculitis in patients with recurrent wheals and bradykinin-mediated angioedema in patients with recurrent swellings. Aim and Result In order to not miss these conditions, we have developed a symptom-based diagnostic algorithm for the management of patients with wheals and/or angioedema. Discussion and Conclusion By asking the right questions and performing a limited diagnostic workup as suggested here, this algorithm may help to establish the right diagnosis and treat patients early and more effectively.

引用

页码：816 / 819

页数：4

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