Datau E A
Department of Internal Medicine, Siloam International Hospitals. Siloam Hospitals Group's CEO Office, Siloam Hospital Lippo Village 5th floor. Jl. Siloam no. 6, Karawaci, Indonesia.
Acta Med Indones. 2012 Apr;44(2):165-74.
Chronic urticaria is common and patients may present with transient eruption of itchy, eruthematous, edematous swellings of the dermis, which lasts more than six weeks. One type of chronic idiopathic urticaria, and part of it, is the chronic autoimmune urticaria. The chronic autoimmune urticaria is caused by high affinity of IgE receptors (anti-FcRI) and less frequently by anti-IgE autoantibodies, also the role of complement activation, that leads to mast and basophil activation. Despite many recent advances in the understanding of chronic autoimmune urticaria, this condition remains a major challenge in the terms of its etiology, investigations, and management.
慢性荨麻疹很常见,患者可能会出现真皮层瘙痒、红斑、水肿性肿胀的短暂皮疹,持续时间超过六周。慢性特发性荨麻疹的一种类型及其部分情况是慢性自身免疫性荨麻疹。慢性自身免疫性荨麻疹是由IgE受体(抗FcRI)的高亲和力引起的,较少由抗IgE自身抗体引起,补体激活也起作用,导致肥大细胞和嗜碱性粒细胞活化。尽管最近在慢性自身免疫性荨麻疹的认识方面取得了许多进展,但这种疾病在病因、检查和治疗方面仍然是一个重大挑战。