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特发性水肿,一种与女性盆腔疼痛及其他症状相关的病症,作为慢性寒冷性荨麻疹的一个补救性病因。

Idiopathic edema, a condition associated with pelvic pain and other symptoms in women, as a remedial cause of chronic cold induced urticaria.

作者信息

Check J H, Cohen R, Check D

机构信息

The University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School at Camden, Cooper Hospital/University Medical Center, Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology & Infertility, Camden, NJ, USA.

出版信息

Clin Exp Obstet Gynecol. 2010;37(3):235-6.

Abstract

PURPOSE

To determine if the treatment of cold induced urticaria refractory to conventional antihistamine-type therapy would respond to treatment with sympathomimetic amines.

METHODS

Dextroamphetamine sulfate (15 mg) extended release capsules were prescribed to be taken daily in the morning.

RESULTS

The cold-induced urticaria completely disappeared and antihistamine therapy was discontinued.

CONCLUSIONS

Treatment of chronic refractory cold-induced urticaria effectively responds to treatment with sympathomimetic amines similar to other cases of chronic refractory urticaria that are not merely cold induced. Manifestation of idiopathic orthostatic edema, a condition predominantly of women, should always be considered in the differential diagnosis of baffling medical conditions.

摘要

目的

确定对传统抗组胺类疗法难治的寒冷性荨麻疹患者使用拟交感神经胺治疗是否有效。

方法

开具硫酸右苯丙胺(15毫克)缓释胶囊,每日早晨服用。

结果

寒冷性荨麻疹完全消失,抗组胺治疗停止。

结论

与其他非单纯由寒冷诱发的慢性难治性荨麻疹病例一样,慢性难治性寒冷性荨麻疹使用拟交感神经胺治疗有效。在疑难病症的鉴别诊断中,应始终考虑特发性体位性水肿(一种主要见于女性的病症)的表现。

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