Reiss M, Reiss G
Klinik für Hals-Nasen-Ohrenheilkunde, Städtisches Klinikum Görlitz.
Praxis (Bern 1994). 2002 Mar 13;91(11):446-53. doi: 10.1024/0369-8394.91.11.446.
Allergic diseases remains an important problem that affects people of all ages. The prevalence of allergic rhinitis amounts to 10 to 16% in Central Europe with a tendency to be on the rise. Allergic rhinitis constitutes one of the commonest causes for visits to a general practitioner. Correct diagnosis is important for optimal management. A thorough history should be taken, followed by general and endoscopic examinations and confirmatory investigations. Careful examination should reveal obvious alternative causes of symptoms, such as polyps or tumours. If allergy is suspected, this can be confirmed by further tests, particularly the skin-prick test, measurements of serum specific IgE, the nasal provocation test of allergens or zytological examination.
过敏性疾病仍然是一个影响各年龄段人群的重要问题。在中欧,过敏性鼻炎的患病率达10%至16%,且有上升趋势。过敏性鼻炎是全科医生接诊的最常见病因之一。正确诊断对于优化治疗至关重要。应详细询问病史,随后进行体格检查和内镜检查以及确诊性检查。仔细检查应能发现症状的明显其他病因,如息肉或肿瘤。如果怀疑过敏,可通过进一步检查来确诊,尤其是皮肤点刺试验、血清特异性IgE测定、变应原鼻激发试验或细胞学检查。