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[荨麻疹的主要症状有哪些,以及如何对其进行系统记录?]

[What are the main symptoms of urticaria and how are they systematically recorded?].

作者信息

Magerl Markus

机构信息

Angioedema Center of Reference and Excellence (ACARE), Institute of Allergology, CBF, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Deutschland.

Immunology and Allergology, Fraunhofer Institute for Translational Medicine and Pharmacology ITMP, Berlin, Deutschland.

出版信息

Dermatologie (Heidelb). 2024 Apr;75(4):274-280. doi: 10.1007/s00105-024-05304-z. Epub 2024 Feb 29.

DOI:10.1007/s00105-024-05304-z
PMID:38424150
Abstract

Wheals or angioedema or both are the main symptoms of urticaria. The small number of the symptoms usually makes diagnosis easy. What is not trivial, however, is the comprehensive systematic recording and assessment of these symptoms and, above all, their sequelae, which affect many areas of the patient's life. Disease activity, quality of life and disease control can and should be measured before and during treatment in order to optimally adapt therapeutic measures. The instruments developed for this purpose have become easier and more convenient to use in recent years thanks to user-friendly platforms such as mobile health apps.

摘要

风团或血管性水肿或两者皆是荨麻疹的主要症状。症状数量较少通常使诊断容易。然而,并非微不足道的是对这些症状进行全面系统的记录和评估,尤其是其后果,这些后果会影响患者生活的许多方面。在治疗前和治疗期间能够且应该对疾病活动、生活质量和疾病控制进行测量,以便最佳地调整治疗措施。近年来,得益于移动健康应用等用户友好型平台,为此目的开发的工具使用起来变得更加简便和便捷。

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本文引用的文献

1
CRUSE - What the first 100 days have taught us.克鲁斯——头100天给我们的启示。
Qatar Med J. 2023 Nov 19;2023(2):14. doi: 10.5339/qmj.2023.sqac.14. eCollection 2023.
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Differential diagnosis between urticarial vasculitis and chronic spontaneous urticaria: An international Delphi survey.荨麻疹性血管炎与慢性自发性荨麻疹的鉴别诊断:一项国际德尔菲调查。
Clin Transl Allergy. 2023 Oct;13(10):e12305. doi: 10.1002/clt2.12305.
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Quality of life and stigmatization in people with skin diseases in Europe: A large survey from the 'burden of skin diseases' EADV project.
欧洲皮肤病患者的生活质量与污名化:来自“皮肤病负担”欧洲皮肤病与性病学会项目的一项大型调查
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4
Sensitivity to change and minimal clinically important difference of the angioedema control test.血管性水肿控制试验对变化的敏感性及最小临床重要差异
Clin Transl Allergy. 2023 Sep;13(9):e12295. doi: 10.1002/clt2.12295.
5
Patients With Chronic Spontaneous Urticaria Who Have Wheals, Angioedema, or Both, Differ Demographically, Clinically, and in Response to Treatment-Results From CURE.患有风团和/或血管性水肿的慢性自发性荨麻疹患者在人口统计学、临床表现和治疗反应方面存在差异-CURE 研究结果。
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Chronic urticaria and the pathogenic role of mast cells.慢性荨麻疹与肥大细胞的致病作用。
Allergol Int. 2023 Jul;72(3):359-368. doi: 10.1016/j.alit.2023.05.003. Epub 2023 May 18.
7
The 7-day recall period version of the Urticaria Control Test-UCT7.荨麻疹控制测试-7 天回忆版-UCT7。
J Allergy Clin Immunol. 2023 Nov;152(5):1210-1217.e14. doi: 10.1016/j.jaci.2023.03.034. Epub 2023 May 18.
8
The international EAACI/GA²LEN/EuroGuiDerm/APAAACI guideline for the definition, classification, diagnosis, and management of urticaria.国际 EAACI/GA²LEN/EuroGuiDerm/APAAACI 荨麻疹定义、分类、诊断和管理指南。
Allergy. 2022 Mar;77(3):734-766. doi: 10.1111/all.15090. Epub 2021 Oct 20.
9
How to Measure Disease Activity, Impact, and Control in Patients with Recurrent Wheals, Angioedema, or Both.如何衡量反复发作的风团、血管性水肿或两者兼具的患者的疾病活动度、影响和控制情况。
J Allergy Clin Immunol Pract. 2021 Jun;9(6):2151-2157. doi: 10.1016/j.jaip.2021.02.026.
10
Differences and Similarities in the Mechanisms and Clinical Expression of Bradykinin-Mediated vs. Mast Cell-Mediated Angioedema.缓激肽介导的血管性水肿与肥大细胞介导的血管性水肿在机制和临床表型方面的差异与相似之处。
Clin Rev Allergy Immunol. 2021 Aug;61(1):40-49. doi: 10.1007/s12016-021-08841-w. Epub 2021 Feb 3.