Cherrez-Ojeda Ivan, Robles-Velasco Karla, Bedoya-Riofrío Pamela, Schmid-Grendelmeier Peter, Cherrez Sofía, Colbatzky Florian, Cardona Ricardo, Barberan-Torres Pedro, Calero Erick, Cherrez Annia
Universidad Espíritu Santo, Km. 2.5 vía La Puntilla, Código postal: 0901-952 Samborondón, Ecuador.
Respiralab, Respiralab Research Group, Guayaquil, Ecuador.
World Allergy Organ J. 2017 Oct 3;10(1):34. doi: 10.1186/s40413-017-0165-0. eCollection 2017.
Existing guidelines do not offer a quick, efficient alternative to the patient's recollection of relevant clinical features during anamnesis and physical examination for chronic urticaria (CU). This study aimed to identify specific items reflecting the main characteristics of CU that should be included in a comprehensive medical history for patients with CU. We also aimed to clarify possible eliciting factors for CU to support accurate diagnosis of the disease.
A panel of postgraduate dermatologists conducted a literature search for relevant studies on CU using Medline, the Cochrane database, and PubMed.
We identified82 articles from which we drew a collection of items to inform development of an easy-to-use checklist and collection of items that should be included in a correct medical history. The final version of the checklist included42 items across two areas: essential clues for anamnesis and diagnosis of CU; and typical symptoms/parameters or characteristics according to subtype, etiology, and laboratory findings. Items included time of disease onset; duration, shape, size, color, and distribution of wheals; associated angioedema; atopy; and triggering factors.
Our guide provides an easy-to-use tool to support clinicians to focus, orient themselves, and save time in medical consultations for CU, allowing better diagnosis and management of this disease.
在慢性荨麻疹（CU）的问诊和体格检查过程中，现有指南并未提供一种快速、有效的方法来替代患者对相关临床特征的回忆。本研究旨在确定反映CU主要特征的特定项目，这些项目应纳入CU患者的全面病史中。我们还旨在明确CU可能的诱发因素，以支持对该疾病的准确诊断。
一组皮肤科研究生使用Medline、Cochrane数据库和PubMed对关于CU的相关研究进行了文献检索。
我们筛选出82篇文章，从中提取了一系列项目，以指导制定一份易于使用的检查表以及正确病史中应包含的项目清单。检查表的最终版本包括两个方面的42个项目：CU问诊和诊断的基本线索；以及根据亚型、病因和实验室检查结果的典型症状/参数或特征。项目包括疾病发作时间；风团的持续时间、形状、大小、颜色和分布；相关的血管性水肿；特应性；以及触发因素。
我们的指南提供了一个易于使用的工具，以支持临床医生在CU的医疗咨询中集中注意力、明确方向并节省时间，从而更好地诊断和管理这种疾病。
