Hashiro M
Department of Dermatology, Minoh City Hospital, Osaka, Japan.
J Dermatol. 1995 Sep;22(9):686-9. doi: 10.1111/j.1346-8138.1995.tb03899.x.
A 35-year-old Japanese woman presented with urticaria in January of 1992. As her symptoms gradually became worse, she came to our hospital in March of that year. I treated her with various combinations of antihistaminics and antiallergics. However, her symptoms did not respond and continued to deteriorate. Although her blood was analyzed in an attempt to identify antigenic or physical factors, no positive data were obtained. Because three kinds of psychological tests showed that the patient was highly anxious and depressive, I additionally treated her with psychotropics and psychotherapy in May of 1994. After a month, the symptoms began to disappear. She has since been free from the symptoms while taking medicine only twice a week. Our group recently presented the efficacy of psychotropics in patients with chronic urticaria. This case suggests that highly anxious or depressive cases with chronic urticaria should be treated not only dermatologically, but also psychologically.
一名35岁的日本女性于1992年1月出现荨麻疹症状。随着症状逐渐加重，她于同年3月前来我院就诊。我用各种抗组胺药和抗过敏药的组合对她进行治疗。然而，她的症状没有改善，反而持续恶化。尽管对她的血液进行了分析，试图找出抗原或物理因素，但未获得阳性结果。由于三项心理测试显示该患者高度焦虑和抑郁，我于1994年5月对她加用了精神药物并进行心理治疗。一个月后，症状开始消失。此后，她仅每周服药两次，症状便未再出现。我们团队最近展示了精神药物对慢性荨麻疹患者的疗效。该病例表明，慢性荨麻疹的高度焦虑或抑郁患者不仅应接受皮肤科治疗，还应接受心理治疗。
