Urtikarya, ke yo rele tou pal, se yon kondisyon po ki karakterize pa aparans wouj, gratèl, ak anfle sou po a.
Li kapab koze pa yon varyete faktè, tankou reyaksyon alèjik, enfeksyon, ak sèten medikaman.
Pou fè dyagnostik urtikarya, ou bezwen konbine istwa medikal, egzamen fizik, epi pafwa tès laboratwa.
1. Istwa medikal: Doktè a ap mande sou istwa medikal pasyan an, ki gen ladan nenpòt alèji li konnen, dènye maladi, ak medikaman li pran.
Yo ka mande w tou ki lè sentòm yo te kòmanse parèt, depi konben tan yo te la e ki sa k te ka lakòz yo parèt.
2. Egzamen fizik: Doktè a pral egzamine po a pou wè si gen mak, gwosè yo, ak distribisyon yo.
Yo ka egzamine tou pou wè si gen lòt siy ki montre moun nan gen alèji, tankou si figi l, bouch li oswa lang li anfle.
3. Egzamen laboratwa: Nan kèk ka, doktè a ka mande pou yo fè tès san pou l wè si gen alèji oswa enfeksyon.
Tès po, tankou yon tès pik po oswa tès plak, kapab fèt tou pou idantifye alèjen espesifik.
4. Tès alèji: Si doktè a sispèk yon reyaksyon alèjik, yo ka refere pasyan an bay yon alèjis pou plis tès.
Sa ka enkli tès pik po, tès plak, oswa tès san pou idantifye alèrjèn espesifik.
5. Dyagnostik diferansyèl: Doktè a ap konsidere lòt bagay ki ka lakòz sentòm yo, tankou lòt maladi po oswa lòt pwoblèm medikal ki kache, e li ka mande pou yo fè lòt tès pou l ka wè si se pa yo.
6. Tès pwovokasyon: Nan ka urtikarya fizik, kote pal yo deklanche pa stimuli fizik tankou chalè, frèt, oswa presyon, doktè a ka fè yon tès pwovokasyon pou konfime dyagnostik la.
Sa vle di yo mete po a an kontak ak yon bagay yo sispèk ki ka lakòz maladi a pou yo wè si l ap fè yon reyaksyon.
7. Tès otoiminitè: Nan ka urtikarya kwonik, doktè a ka mande pou yo fè tès pou yo wè si gen maladi otoiminitè, paske pafwa maladi sa yo ka lakòz maladi a.
8. Egzamen ki fèt pou wè si maladi a pa bay lòt pwoblèm ki ka bay menm sentòm yo.
An jeneral, pou dyagnostike urtikarya, yon konbinezon istwa medikal, egzamen fizik, epi pafwa tès laboratwa.
Objektif yo se chèche konnen ki sa ki lakòz maladi a e detèmine ki tretman ki pi bon pou malad la.
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.
['Avètisman: medikal']
['Sit entènèt sa a se pou rezon edikasyonèl ak enfòmasyon sèlman e li pa bay konsèy medikal oswa sèvis pwofesyonèl.']
['Enfòmasyon yo bay la pa dwe itilize pou fè dyagnostik oswa trete yon pwoblèm sante oswa maladi, e moun k ap chèche konsèy medikal pèsonèl ta dwe konsilte yon doktè ki gen lisans.']
['Tanpri note ke rezo neural ki jenere repons pou kesyon yo, pa egzat sitou lè li rive pou kontni nimerik. pa egzanp, kantite moun ki te dyagnostike ak yon maladi espesifik.']
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['(5) yon deklarasyon ou siyen sou penalite fo temwayaj ke enfòmasyon ki nan notifikasyon an egzat e ke ou gen otorite pou fè respekte dwa otè yo ke yo reklame ke yo vyole yo;']
['e (6) yon siyati fizik oubyen elektwonik mèt copyright la oubyen yon moun ki otorize pou aji sou non mèt copyright la. ']
['Si ou pa bay tout enfòmasyon ki anwo yo, sa ka fè ke nou pa trete plent ou a byen vit.']
['Kontak']
['Tanpri voye nou yon imèl avèk nenpòt kesyon / sijesyon.']
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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