BMJ Best Practice
最后审核时间： 十月 2018
最近更新时间： 一月 2018

小结

定义

病史和查体

关键诊断因素

  • 存在的危险因素
  • 急性发病
  • 荨麻疹
  • 血管性水肿
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其他诊断因素

  • 变应原摄入
  • 昆虫叮咬
  • 瘙痒
  • 吸气相鸣音和声音嘶哑
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危险因素

  • 成年：食物、昆虫毒素及药物相关
  • 女性
  • 30 岁以下人群：食物相关运动诱发
  • 特应性疾病/哮喘
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诊断性检查

首要检查

  • 血清类胰蛋白酶水平
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需要考虑的检查

  • 体外 IgE 检测
  • 皮肤试验
  • 激发试验
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新兴检查

  • 嗜碱细胞活化试验
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治疗流程

推断

所有患者：急性发病

疾病持续状态

确定了变应原的患者

贡献者

作者 查看所有

Instructor

Department of Allergy and Immunology

Icahn School of Medicine at Mount Sinai

New York

NY

利益冲突披露
DAA is an author of a number of references cited in this monograph.

Assistant Professor of Anesthesiology

Department of Anesthesiology

Montefiore Medical Center

Albert Einstein College of Medicine

New York

NY

利益冲突披露
MHA is an author of a reference cited in this monograph.

Dr Doerthe Adriana Andreae and Dr Michael Henning Andreae would like to gratefully acknowledge Dr Andrea Vereda, a previous contributor to this monograph. AV declares that she is currently employed by Almirall SA, which manufactures Kestin (ebastine, a second-generation antihistaminic). AV wrote the main content of this topic before taking up this appointment.

同行评议专家 查看所有

Associate Professor

Family Medicine and Community Health

University of Massachusetts Medical School

Worcester

MA

利益冲突披露
FJD declares that he has no competing interests.

Assistant Professor of Pediatrics

Mount Sinai School of Medicine

New York

NY

利益冲突披露
WS declares that he has no competing interests.

Visiting Consultant in Allergy

Addenbrooke’s Hospital NHS Trust

Cambridge

UK

利益冲突披露
LY declares that he has no competing interests.

Consultant Immunologist

Department of Immunology

Epsom & St Helier University Hospitals NHS Trust

Carshalton

Surrey

UK

利益冲突披露
GH declares that he has no competing interests.

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