What is pathophysiology of Urticaria?

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Quina es la fisiopatologia de l'urticària?

L'urticària, comunament coneguda coma rusca, es una malautiá de la pèl caracterizada per l'apareisson de roncas rojas, grassas e picantas sus la pèl.

La fisiopatologia de l'urticària implica la liberacion d'istamina e d'autres mediators inflammatòris dels mastòcits, que son de cellulas immunitàrias de la pèl e d'autres teissuts.

Dins l'urticària aguda, la liberacion d'istamina e d'autres mediators es provocada per una reaccion allergica a un alergèn especific, coma los aliments, medicaments, o la fissada d'insècte.

Aquò provòca la desgranulacion dels mastòcits, liberant d'istamina e d'autres mediators que fan que los vaissèls sanguins vengan permeables, menant a la formacion de las ròdas.

Dins l'urticària cronica, la causa es sovent desconeguda, mas se pensa qu'es ligada a un mecanisme autoimun.

Dins aqueste cas, l'organisme produch d'autoanticòrs que ciblan lo receptor IgE d'afinitat nauta (FcεRI) suls mastòcits, menant a lor activacion e a la liberacion d'istamina e d'autres mediators.

Dins l'urticària aguda e cronica, la liberacion d'istamina e d'autres mediators mena als simptòmas caracteristics de picor, rojor e tumefaccion.

Lo tractament implica tipicament l'usatge d'antiistaminas per blocar los efièch de l'istamina e reduire los simptòmas.

Dins los cases grèus, d'autres medicaments coma los corticosteroïdes o omalizumab pòdon èsser utilizats per contrarotlar la malautiá.

['Referéncias']

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

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

Wahlgren CF: Pathophysiology of itching in urticaria and atopic dermatitis. Allergy. 1992, 47 (2 Pt 1): 65-75.

Raap U, Liekenbröcker T, Wieczorek D, Kapp A, Wedi B: [New therapeutic strategies for the different subtypes of urticaria]. Hautarzt. 2004, 55 (4): 361-6.

[Recommendations for the diagnosis and treatment of urticaria in children]. Arch Argent Pediatr. 2021, 119 (2): S54-S66.

Marrouche N, Grattan C: Childhood urticaria. Curr Opin Allergy Clin Immunol. 2012, 12 (5): 485-90.

Brzoza Z, Grzeszczak W, Rogala B, Trautsolt W, Moczulski D: Possible contribution of chemokine receptor CCR2 and CCR5 polymorphisms in the pathogenesis of chronic spontaneous autoreactive urticaria. Allergol Immunopathol (Madr). , 42 (4): 302-6.

Sweeney TM, Dexter WW: Cholinergic urticaria in a jogger: ruling out exercise-induced anaphylaxis. Phys Sportsmed. 2003, 31 (6): 32-6.

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What is pathophysiology of urticaria?

Urticaria, commonly known as hives, is a skin condition characterized by the appearance of itchy, raised, red welts (wheals) on the skin.

The pathophysiology of urticaria involves the release of histamine and other inflammatory mediators from mast cells, which are immune cells found in the skin and other tissues.

In acute urticaria, the release of histamine and other mediators is triggered by an allergic reaction to a specific allergen, such as food, medication, or insect sting.

This causes the mast cells to degranulate, releasing histamine and other mediators that cause blood vessels to become leaky, leading to the formation of wheals.

In chronic urticaria, the cause is often unknown, but it is thought to be related to an autoimmune mechanism.

In this case, the body produces autoantibodies that target the high-affinity IgE receptor (FcεRI) on mast cells, leading to their activation and the release of histamine and other mediators.

In both acute and chronic urticaria, the release of histamine and other mediators leads to the characteristic symptoms of itching, redness, and swelling.

Treatment typically involves the use of antihistamines to block the effects of histamine and reduce symptoms.

In severe cases, other medications such as corticosteroids or omalizumab may be used to control the condition.

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