What is pathophysiology of Urticaria?

['Phulaphula eli phepha']

Yintoni i-pathophysiology ye-urticaria?

I-Urticaria, eyaziwa ngokuba yindawo enobuhlungu, yimeko yesikhumba ebonakala ngokubonakala kwezikhala ezibomvu, eziphakanyisiweyo, ezirhawuzelayo (amavili) esikhumbeni.

Ipathophysiology yeurticaria ibandakanya ukukhutshwa kwehistamine nezinye izinto ezibangela ukudumba kwimast cells, eziziiseli zomzimba ezifumaneka kulusu nakwezinye izicwili.

Xa umntu eneurticaria ebukhali, kukhutshwa ihistamine nezinye izinto ezibangela ukuba umntu abe neentlungu xa ethe wafumana into emenza abe neentlungu, njengokutya, amayeza okanye ukulunywa zizinambuzane.

Oku kubangela ukuba iimaste cell zityumke, zikhuphe ihistamine nezinye izinto ezibangela imithambo yegazi ivuleke, nto leyo ebangela ukuba kubekho amavili.

Kwi-urticaria engapheliyo, unobangela wayo awukaziwa, kodwa kucingelwa ukuba unxulumene nenkqubo ye-autoimmune.

Kule meko, umzimba uvelisa ii-autoantibodies ezijolisa kwi-high-affinity IgE receptor (FcεRI) kwiiseli ze-mast, nto leyo ekhokelela ekusebenzeni kwazo nasekukhululweni kwe-histamine nezinye izinto eziphakathi.

Kwi-urticaria ebuhlungu nehlala ihleli, ukukhutshwa kwe-histamine nezinye izinto ezibangela ukuba kubekho iintlungu ezifana nokurhawuzelela, ukuba bomvu nokudumba.

Unyango luquka ukusebenzisa iiantihistamine ukuthintela iziphumo zehistamine nokunciphisa iimpawu.

Kwiimeko ezinzima, amanye amayeza afana necorticosteroids okanye omalizumab angasetyenziswa ukulawula imeko.

['Iimbekiselo']

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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['Unxibelelwano']

['Nceda usithumelele i-imeyile ngayo nayiphi na imibuzo / iingcebiso.']

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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