Alerjinin Bilinmez Sorununa Tanısal Yaklaşım: Kronik Ürtiker ve Anjioödem

Yıl 2009, Cilt: 9 Sayı: 2, 68 - 75, 01.04.2009

Gürkan Kılıç Nermin Güler Zeynep Tamay

Öz

Altı haftadan uzun süren ürtiker olarak tanımlanan kronik ürtikerin nedeni çoğunlukla bulunamamaktadır. Kronik ürtikerli vakaların yarısına anjioödem de eşlik eder. Tanı temel olarak hastanın anamnezine dayanmaktadır. Kronik otoimmün ürtikerli çocukların % 30-40’ında IgE ya da IgE reseptörüne karşı fonksiyonel otoantikorlar saptanmakta- dır. Otolog serum deri testi kronik otoimmün ürtiker için yapılması gereken bir tarama testidir

Anahtar Kelimeler

Kronik ürtiker, anjioödem, çocuk

Unknown Problem of Allergy: Chronic Urticaria and Angioedema

Öz

The etiology of chronic urticaria CU , defined as recur- ring attacks of hives lasting for 6 weeks, often remains unrecognized. Half of patients with chronic urticaria have also angioedema. The diagnosis is based principally on the patient’s history. It has been shown that approximately 30 %-40 % of children with CU produce functionally acti- ve autoantibodies directed against IgE or IgE receptor defined as chronic autoimmune urticaria COU . Autologous serum skin test possibly should be performed in children as a screening test for idiopathic autoimmune CU

Anahtar Kelimeler

Chronic urticaria, angioedema, child

Kaynakça

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