How is Urticaria diagnosed?

['Deungoen halaman nyoe']

Pakriban cara geu diagnosa urtikaria?

Urtikaria, jituri cit seubagoe gatal-gatal, adalah kondisi kulet yang ditanda deungen deuh jih bintik-bintik mirah, gatal, dan bengkak bak kulet.

Nyan jeut ji peuget le macam faktor, termasok reaksi alergi, infeksi, dan ubat-ubat tertentu.

Mendiagnosis urtikaria melibatkan kombinasi riwayat medis, pemeriksaan fisik, dan kadang tes laboratorium.

1. Riwayat medis: Dokter akan ditanyong tentang riwayat medis pasien, termasuk alergi nyang dituri, peunyaket baroe, dan ubat nyang ji pajoh.

Awaknyan akan cit jitanyong tentang awai gejala, durasi jih, dan peunyaket potensial.

2. Pemeriksaan fisik: Dokter akan geu periksa kulet untuk na luka, ukuran, dan distribusi jih.

Awak nyan jeut cit geu periksa tanda-tanda reaksi alergi laen, lage bengkak muka, bibir, atau lidah.

3. Tes laboratorium: Lam padum-padum kasus, dokter jeut geu peurintah tes darah untuk geu cek na alergi atau infeksi.

Tes kulet, lage tes tusuk kulet atau tes tambalan, jeut chit di peuget untuk ji identifikasi alergen spesifik.

4. Tes alergi: Meunye dokter curiga reaksi alergi, awak nyan jeut jiarah pasien bak ahli alergi untuk tes leubeh lanjut.

Nyo jeut termasuk tes tusuk kulit, tes tambalan, atau tes darah untuk geuidentifikasi alergen spesifik.

5. Diagnosis diferensial: Dokter akan geu pertimbangkan penyebab laen yang mungken jeut keu gejala, lage kondisi kulit laen atau kondisi medis yang mendasari, dan jeut geu pesan tes tambahan untuk geu peugadeh hal nyoe.

6. Tes provokasi: Dalam kasus urtikaria fisik, di pat gatal-gatal nyan dipicu oleh rangsangan fisik lage suum, dingin, atau tekanan, dokter jeut melakukan tes provokasi untuk mengkonfirmasi diagnosis.

Nyo geulibatkan geu paparkan kulet keu yang geu curiga jeut keu pemicu untuk geu kalon peu reaksi terjadi.

7. Tes autoimun: Dalam kasus urtikaria kronis, dokter jeut geu peurintah tes untuk geu cek gangguan autoimun, karena kadang jeut keu penyebab kondisi nyan.

8. tes pencitraan: Dalam kasus yang jarang, tes pencitraan lage X-ray atau CT scan jeut diarahkan untuk mengesampingkan kondisi laen yang jeut menyebabkan gejala yang sama.

Secara umum, diagnosis urtikaria melibatkan kombinasi riwayat medis, pemeriksaan fisik, dan kadang-kadang tes laboratorium.

Tujuan jih adalah untuk meuteume penyebab utama dan peuteunte peurangkat terbaik untuk pasien.

['Referensi[peusaneut nè]']

PubMed/Medline https://www.nlm.nih.gov/databases/download/pubmed_medline.html

RefinedWeb https://arxiv.org/abs/2306.01116

Torabi B, Ben-Shoshan M: The association of cholinergic and cold-induced urticaria: diagnosis and management. BMJ Case Rep. 2015, 2015 (): .

Schoepke N, Doumoulakis G, Maurer M: Diagnosis of urticaria. Indian J Dermatol. 2013, 58 (3): 211-8.

Hochstadter EF, Ben-Shoshan M: Cold-induced urticaria: challenges in diagnosis and management. BMJ Case Rep. 2013, 2013 (): .

Ensina LF, Brandão LS, Neto HC, Ben-Shoshan M: Urticaria and angioedema in children and adolescents: diagnostic challenge. Allergol Immunopathol (Madr). 2022, 50 (S Pt 1): 17-29.

Silvestre Salvador JF, Giménez-Arnau AM, Gómez de la Fuente E, González Del Castillo J, Martínez Virto AM, Miguens Blanco I, Serra-Baldrich E, Llorens P: Managing urticaria in the emergency department: recommendations of a multidisciplinary expert panel. Emergencias. 2021, 33 (4): 299-308.

Visitsuntorn N, Tuchinda M, Arunyanark N, Kerdsomnuk S: Ice cube test in children with cold urticaria. Asian Pac J Allergy Immunol. 1992, 10 (2): 111-5.

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How is urticaria diagnosed?

Urticaria, also known as hives, is a skin condition characterized by the appearance of red, itchy, and swollen welts on the skin.

It can be caused by a variety of factors, including allergic reactions, infections, and certain medications.

Diagnosing urticaria involves a combination of medical history, physical examination, and sometimes laboratory tests.

1. Medical history: The doctor will ask about the patient's medical history, including any known allergies, recent illnesses, and medications taken.

They will also inquire about the onset of symptoms, their duration, and any potential triggers.

2. Physical examination: The doctor will examine the skin for the presence of welts, their size, and distribution.

They may also check for other signs of an allergic reaction, such as swelling of the face, lips, or tongue.

3. Laboratory tests: In some cases, the doctor may order blood tests to check for the presence of allergies or infections.

Skin tests, such as a skin prick test or patch test, may also be performed to identify specific allergens.

4. Allergy tests: If the doctor suspects an allergic reaction, they may refer the patient to an allergist for further testing.

This may include skin prick tests, patch tests, or blood tests to identify specific allergens.

5. Differential diagnosis: The doctor will also consider other possible causes of the symptoms, such as other skin conditions or underlying medical conditions, and may order additional tests to rule these out.

6. Provocation tests: In cases of physical urticaria, where the hives are triggered by physical stimuli such as heat, cold, or pressure, the doctor may perform a provocation test to confirm the diagnosis.

This involves exposing the skin to the suspected trigger to see if a reaction occurs.

7. Autoimmune tests: In cases of chronic urticaria, the doctor may order tests to check for autoimmune disorders, as these can sometimes cause the condition.

8. Imaging tests: In rare cases, imaging tests such as an X-ray or CT scan may be ordered to rule out other conditions that may cause similar symptoms.

Overall, diagnosing urticaria involves a combination of medical history, physical examination, and sometimes laboratory tests.

The goal is to identify the underlying cause and determine the best course of treatment for the patient.

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