Moderne Diagnostik und Therapie der Urtikaria

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• 作者：Dr. D. Wieczorek (1)
  U. Raap (1)
  A. Kapp (1)
  B. Wedi (1)
  
• 关键词：Urtikaria ; Diagnostisches Vorgehen ; Therapeutische Ma脽nahmen ; Physikalische Urtikaria ; Fallbeispiele ; Urticaria ; Diagnostic procedures ; Therapeutic management ; Physical urticaria ; Case reports
• 刊名：Der Hautarzt
• 出版年：2007
• 出版时间：April 2007
• 年：2007
• 卷：58
• 期：4
• 页码：302-307
• 全文大小：712KB
• 参考文献：1. Zuberbier T, Bindslev-Jensen C, Canonica W et al. (2006) EAACI/GALEN/EDF guideline: definition, classification and diagnosis of urticaria. Allergy 61: 316鈥?20 CrossRef
  2. Zuberbier T, Bindslev-Jensen C, Canonica W et al. (2006) EAACI/GALEN/EDF guideline: management of urticaria. Allergy 61: 321鈥?31 CrossRef
  3. Wedi B, Raap U, Wieczorek D, Kapp A (2004) Neues zur Urtikaria. Allergologie 27: 435鈥?43
  4. Wedi B, Kapp A (2006) Diagnostik bei Urtikaria. Allergo J 15: 205鈥?10
  5. Wieczorek D, Raap U, Liekenbrocker T et al. (2004) Chronische Urtikaria im Kindesalter. Hautarzt 55: 357鈥?60 CrossRef
  6. Wedi B, Kapp A (2005) Chronic urticaria: assessment of current treatment. Exp Rev Clin Immunol 1: 459鈥?73 CrossRef
  7. Wedi B, Kapp A (2006) Evidenzbasierte Therapie bei Urtikaria. Dtsch Med Wochenschr 131: 1601鈥?604 CrossRef
  8. Raap U, Liekenbrocker T, Wieczorek D et al. (2004) Neue Therapieoptionen der Urtikaria und ihrer Subtypen. Hautarzt 55: 361鈥?66 CrossRef
  9. Wedi B, Kapp A (2002) Helicobacter pylori infection in skin diseases: a critical appraisal. Am J Clin Dermatol 3: 273鈥?82 CrossRef
  10. Wedi B, Raap U, Kapp A (2004) Chronic urticaria and infections. Curr Opin Allergy Clin Immunol 4: 387鈥?96 CrossRef
  11. Wedi B, Kapp A (2007) Evidenzbasierte Therapie der chronischen Urtikaria. J Dtsch Dermatol Ges 5: 146鈥?57 CrossRef
  12. Wedi B, Kapp A (2006) Aktuelle Positionsbestimmung zur Bedeutung von Nahrungsmittelallergien und -unvertr盲glichkeiten bei der Urtikaria. Hautarzt 57: 101鈥?07 CrossRef
  13. Wedi B, Novacovic V, Koerner M, Kapp A (2000) Chronic urticaria serum induces histamine release, leukotriene production, and basophil CD63 surface expression-inhibitory effects of anti-inflammatory drugs. J Allergy Clin Immunol 105: 552鈥?60 mai.2000.104939">CrossRef
  
• 作者单位：Dr. D. Wieczorek (1)
  U. Raap (1)
  A. Kapp (1)
  B. Wedi (1)
  
  1. Klinik und Poliklinik f眉r Dermatologie und Venerologie, Medizinische Hochschule Hannover, Ricklinger Str. 5, 30449, Hannover, Deutschland
  
• ISSN：1432-1173

文摘

The different urticaria subtypes represent a common diagnostic and treatment challenge for the dermatologist. Usually, acute urticaria is treated symptomatically with modern H1 antihistamines and, if needed, short courses of glucocorticosteroids. In acute urticaria which is often induced by an acute infection no further diagnostic procedures are recommended. In contrast, a targeted work-up followed by specific therapy is required for chronic urticaria, physical urticaria and special urticaria types, because many of these subtypes are characterized by their persistence for several years and have a profound impact on the quality of life. This article elucidates the management of urticaria by presenting five characteristic case reports of patients managed in a special urticaria consulting hour.