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因荨麻(Urtica dioica)而致新生儿荨麻疹。

Urticaria due to Urtica dioica in a neonate.

机构信息

Department of Pediatrics, Division of Neonatology, Sisli Etfal Children Hospital, Istanbul, Turkey.

出版信息

Eur J Pediatr. 2011 Mar;170(3):401-3. doi: 10.1007/s00431-010-1327-z. Epub 2010 Oct 16.

DOI:10.1007/s00431-010-1327-z
PMID:20953796
Abstract

Urticaria is one of the most common dermatoses during the childhood, but it is very rare in the neonates. A 17-day-old infant with a generalized urticaria was admitted to our pediatric emergency unit. The mother of the infant reported having applied water boiled with stinging nettle (Urtica dioica) onto her nipples twice a day (before and after each breastfeeding) for 2 days in order to heal her nipple cracks. Serum total immunoglobulin E (IgE) and specific IgE levels for stinging nettle were high in the infant and the mother. The rashes began to regress within the first day of the hospitalization and disappeared completely on the second day without treatment. The skin prick test with the water boiled with stinging nettle was positive for the infant with significant induration, but not for the mother. Conclusion Reporting the first urticaria case in newborns due to stinging nettle, the authors suggest that breastfeeding mothers should always consult a physician before using skincare products.

摘要

荨麻疹是儿童期最常见的皮肤病之一,但在新生儿中非常罕见。一名 17 天大的婴儿因全身性荨麻疹被收入我院儿科急诊。患儿母亲报告称,她在两天内每天两次(每次母乳喂养前后)将荨麻(Urtica dioica)煮沸的水涂在乳头上,以治愈乳头皲裂。婴儿和母亲的血清总免疫球蛋白 E(IgE)和特定 IgE 水平对荨麻很高。住院的第一天皮疹开始消退,第二天未经治疗完全消失。用荨麻煮沸的水进行皮肤点刺试验,婴儿的硬结明显,但母亲的则没有。结论 作者报告了首例因荨麻引起的新生儿荨麻疹病例,建议哺乳期妇女在使用护肤品前应始终咨询医生。

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本文引用的文献

1
Anaphylactic shock due to hepatitis B immunoglobulin in a newborn.新生儿因乙型肝炎免疫球蛋白所致的过敏性休克。
J Matern Fetal Neonatal Med. 2010 Oct;23(10):1257-9. doi: 10.3109/14767051003653260.
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Neonatal urticaria due to American ginseng or not?新生儿荨麻疹是由西洋参引起的吗?
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Urticaria: current opinions about etiology, diagnosis and therapy.荨麻疹:关于病因、诊断和治疗的当前观点
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Stinging nettle dermatitis.荨麻皮炎
Am J Contact Dermat. 2003 Mar;14(1):44-6. doi: 10.2310/6620.2003.38719.
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Neonatal urticaria as a symptom of a multisystem inflammatory disease.新生儿荨麻疹作为一种多系统炎症性疾病的症状。
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Crystal structure of Urtica dioica agglutinin, a superantigen presented by MHC molecules of class I and class II.荨麻凝集素的晶体结构,一种由I类和II类MHC分子呈递的超抗原。
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Pediatr Dermatol. 2000 Jan-Feb;17(1):58-61. doi: 10.1046/j.1525-1470.2000.01712.x.
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Acute urticaria in infancy and early childhood: a prospective study.
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