Chronic urticaria is a rash, which is characterized by the manifestation of allergic reactions in the form of blisters for more than six months.The very cause of the disease can be established only in every fourth case.Diseases subject to people of all ages and ethnic groups, often ill youth.The diagnosis does not cause difficulties, it is much harder to determine the treatment and in prevention.The very course of the disease is very unpredictable, has been delayed for months and years.
are ill should check the influence of such factors as indzhestanty, inhalants, inektanty, infkektsii, internal diseases.
Indzhestanty substances that enter the digestive system, and is very strong provocateurs urticaria.Such nutritional substances include drugs (antibiotics), and food additives.
Inhalants - these include dust, pollen, feather.
Inektanty - these include injection drug stings of wasps, bees, and other insects.
as viral infections and bacterial, parasitic and fungal.
internal disease, which include chronic infections, and diseases such as thyroid cancer and lupus
Chronic urticaria - Causes
cause of chronic urticaria are the mast cells of the skin that are failing in the human liver, the gastrointestinalgastrointestinal tract, kidneys, chronic outbreaks of infection, toxemia during pregnancy, as well as decomposition products of malignant tumors.From the foregoing, it is clear that chronic allergic reactions can act clinical manifestation of certain systemic diseases.
reason can often speak and chemicals that are capable of inducing the disease by contact.These substances are the hygiene products: toothpaste, shampoo, detergents, chemical allergens, cosmetics
Chronic urticaria - symptoms
disease is characterized by migratory swollen blisters, stains in the form of figures, rings of red and pink.The size of the lesions reach forms with palm.Outbreaks are able to merge and acquire polycyclic contours, and eventually change the shape, size.By themselves, the rash can be held for 24 hours and then occur in the form of new outbreaks.Some patients with extensive lesions suffer systemic symptoms: often concerned about shortness of breath, nausea, painful itching, noisy breathing difficulties, headache and abdominal pain, diarrhea
diagnosis of chronic urticaria
Laboratory studies can provide a good help in the diagnosis of chronic urticaria andThey include X-rays, to exclude sinusitis, and dental X-rays, to eliminate hidden abscess, blood tests, thyroid-stimulating hormone stimulation test, rapid test for the determination of streptococci and throat swab, the test for microsomal antibodies.
But the differential diagnosis is carried out with the following diseases: Physical urticaria, urticarial vasculitis, erythema multiforme, bulezny pemphigoid.
Physical urticaria is a short-term urticaria caused by physical causes: scratching, pressure, heat, vibration, cold, and ultraviolet irradiation.
urticaria vasculitis - is a systemic disease in which can be developed lupus, is very reminiscent of chronic urticaria, but differs from it stains purple.Urticaria vasculitis can be approved by histological examination of biopsy material.
Bulezny pemphigoid is in the early stages urticaria lesions, which are characterized by the formation of bubbles.
erythema multiforme is characterized by infectious and allergic genesis, that affects the skin and mucous membranes
Treatment of chronic urticaria
For chronic urticaria is characterized by the daily (about 6 weeks or more) blisters, the existence of which lasts up to 24 hours.Chronic lesions develop in different parts of the skin, and are replaced by remissions of varying duration.Treatment chronicle begins with the removal of the cause of the disease and destination hypoallergenic diet, eliminating foods that cause gistaminoliberatsiyu.These include coffee, nuts, citrus fruits, chocolate, honey, cheese, bananas, cabbage pickled, smoked, fatty and fried foods.It is necessary to abstain from drugs and alcohol.The number of contraindications got sauna and swimming pool, bathing in hot water, increased rubbing of the skin washcloth and towel.It is necessary to give preference to wear cotton fabrics and forget for the use of antistatic agents, washing produce with hypoallergenic detergents.
Chronic urticaria is treated with antihistamines.
Hydroxyzine is assigned 10 to 25 mg in acute need every four hours, 100 mg.Hydroxyzine has a sedative effect.
Klarineks (desloratadine), Zyrtec (cetirizine), Telfast, Allegra not cause sedative effect and is therefore recommended for the day.
important to note that the main feature of urticaria, in which it is easy to determine the severity of the disease, appears itching and effectiveness of treatment is determined to reduce the itching.It should be emphasized that a slight decrease in blisters and itching does not serve as a pretext to cancel an antihistamine.The time factor is very important in the treatment and the lack of results for two days does not provide the basis to cancel an antihistamine.Assessing the effectiveness of the designated antihistamine made after 7 days.For effective treatment of chronic urticaria necessary to 6 weeks making antiallergic drugs.
for ailing important to remember that the key to successful treatment of chronic urticaria serves correction and treatment of opportunistic diseases.