Kronik Ürtiker Şikayeti İle Başvuran Hastaya Akılcı Yaklaşım

Öz

Öz

Kronik ürtiker çocuklarda erişkinlere oranlara daha nadir görülmektedir. Kronik ürtiker; kronik spontan ürtiker ve kronik uyarılabilir ürtiker olmak üzere iki ana başlık altında gruplandırılmaktadır. Tedavide ilk basamak tetikleyici faktörlerden uzak durmaktır. Medikal tedavide en çok kullanılan ilaçlar ikinci kuşak antihistaminik ilaçlardır. Antihistaminik tedavisine yanıt alınmadığında doz artışı yapılmalı ve yine yanıt alınamazsa omalizumab ve siklosporin A gibi ek tedavi seçenekleri düşünülmelidir. Burada kronik ürtikerli bir olgudan yola çıkılarak, kronik ürtiker tanı ve tedavi yaklaşımı anlatılmıştır.

Anahtar Kelimeler

• Kronik ürtiker,antihistaminik,omalizumab

Rational Approach to the Patient Presenting with Chronic Urticaria

Abstract

Abstract

Chronic urticaria is less common in children than adults.  Chronic urticaria, is grouped under two main headings as chronic spontaneous urticaria and chronic inducible urticaria. The first step in treatment is to avoid trigger factors. The most commonlyused drugs in medical treatment are second-generation antihistamines. If there is noresponse to antihistamine treatment, the dose should be increased. If no response isobtained, additional treatment options such as omalizumab and cyclosporin A should be considered. Chronic urticaria diagnosis and treatment approach are describedbased on a case diagnosed chronic urticaria in this article.

Keywords

• Chronic urticaria,antihistamine,omalizumab

Kaynakça

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