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[慢性荨麻疹。激发试验]

[Chronic urticaria. Provocation test].

作者信息

Giménez Camarasa J M

出版信息

Med Cutan Ibero Lat Am. 1976;4(6):441-8.

PMID:1035401
Abstract

Sixty patients of ages ranging from 11 to 64, with chronic urticaria from 2 months to 50 years duration, were studied with the provocation test. We found responses in 33.3% of patients. Tartrazine was the most common inducer, specially in those patients sensitive to aspirin with increased salicilate blood levels. As we did not use aspirin as inducer the results with tartrazine are more relevant and can be used to detect a positive response to aspirin. The relation between tartrazine and aspirin was not observed in patients with pressure or cholinergic urticaria. The provocation test is most useful in patients with chronic urticaria of unknown cause. 4 hydroxybenzoic acid and sodium acid and sodium benzoate were the more common inducers in the latter patients. We feel that the provocation test is a useful tool to study patients with chronic urticaria. Tartrazine, 4 hydroxybenzoic acid, sodium benzoate, tiramin and penicilin are included in the test. The responders should eliminate the offender from their diet.

摘要

对60名年龄在11岁至64岁之间、患有持续2个月至50年慢性荨麻疹的患者进行了激发试验研究。我们发现33.3%的患者有反应。酒石黄是最常见的诱发因素,特别是在那些对阿司匹林敏感且血液中水杨酸盐水平升高的患者中。由于我们未将阿司匹林用作诱发因素,因此酒石黄的结果更具相关性,可用于检测对阿司匹林的阳性反应。在压力性或胆碱能性荨麻疹患者中未观察到酒石黄与阿司匹林之间的关系。激发试验对病因不明的慢性荨麻疹患者最有用。4-羟基苯甲酸、苯甲酸钠是后一组患者中较常见的诱发因素。我们认为激发试验是研究慢性荨麻疹患者的有用工具。试验中包括酒石黄、4-羟基苯甲酸、苯甲酸钠、酪胺和青霉素。有反应的患者应从饮食中排除致病因素。

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