Pioda G B, Brugia M, Cimignoli E, Gregorio F, Rambotti P
Quad Sclavo Diagn. 1986 Jun;22(2):171-8.
In the present study, we examined 102 patients with chronic urticaria and angioedema. The incidence of immune complexes (CIC)-mediated chronic urticaria with complement activation (C3b+) was 11.7% (12/102 patients). The 12 patients with CIC and C3b was divided in three diagnostic groups: with drug adverse reactions; with systemic disorders; without apparent associated pathologies. On the basis of data obtained it is remarkable the necessity of a careful etiologic diagnosis in presence of CIC mediated-chronic urticaria particularly when it is associated with arthralgies and/or elevated erythrocyte sedimentation rate (ESR) because of a likely presence of a serious systemic pathology.
在本研究中,我们检查了102例慢性荨麻疹和血管性水肿患者。免疫复合物(CIC)介导的伴有补体激活(C3b +)的慢性荨麻疹的发生率为11.7%(12/102例患者)。这12例CIC和C3b阳性患者分为三个诊断组:有药物不良反应的;有全身性疾病的;无明显相关病变的。根据所获得的数据,值得注意的是,在存在CIC介导的慢性荨麻疹时,尤其是当它与关节痛和/或红细胞沉降率(ESR)升高相关时,由于可能存在严重的全身性病变,进行仔细的病因诊断非常必要。