ArtÃculo Original
Diagnóstico de urticaria crónica en Guayaquil
Iván Cherrez-Ojeda, Alfonso Tafur, Tania Cazar, Enrique Uraga, Ronnie Mantilla, Thomas Guerrero, Lourdes Chica, Jaime Soria
ARCHIVOS DE ALERGIA E INMUNOLOGÍA CLÍNICA 2007;( 2):0073-0078 | DOI: 10.53108/AAIC/20072/0073-0078
Texto completo solo disponible en PDFLa urticaria crónica es una entidad que se caracteriza por la presencia de ronchas, la mayoría de las veces pruriginosas; los síntomas persisten más de 6 semanas. El diagnóstico etiológico puede demostrarse hasta en un 40% a pesar de una historia clinica y exámenes detallados. En nuestro estudio retrospectivo se incluyeron 161 pacientes que consultaron por urticaria crónica en el servicio de alergia. La etiología más frecuente fue la idiopática (57%) seguida por la urticaria vasculítica (12%). Se observó una alta frecuencia de esta patología en el sexo femenino (76,4%) en comparación con el sexo masculino (23,9%). En cuanto al tratamiento, la gran mayoría de pacientes respondió favorablemente a los antihistamínicos de primera o segunda generación. En cambio, en otros se utilizó terapia combinada con anti-H1 y bloqueantes anti-H2. En un pequeño grupo de pacientes hubo que asociar fármacos como levotiroxina, corticoesteroides, inmunorreguladores, antileucotrienos y gammaglobulina endovenosa.
Palabras clave: urticaria crónica, habones, inmunorregulador, urticaria vasculitis.
Chronic urticaria is an entity characterized by wheals most of the time associated with itching, and the symptoms persist more than 6 weeks. The etiology can be only demonstrated in 40% of the cases even though a detailed clinical history and exams were performed. The most common cause is the idiopathic (57%) followed by urticaria vasculitis (12%). In our retrospective study we included 161 patients that attended because of chronic urticaria in our allergy service. We observed a high incidence of this disease in women (76.4%) in comparison with men (23.9%). In addition to treatment, a huge amount of patients responded to a combine therapy of first and second generation H1 antihistamines. While in others a combined therapy of H1 antihistamines and H2 antihistamines was needed. In a small group of patients drugs such as levotiroxine, corticosteroids, immunomodulators, leukotrienes antagonists, and intravenous immunoglobulin (IVIG) were added.
Keywords: chronic urticaria, wheals, immunoregulator, urticaria vasculitis.
Los autores declaran no poseer conflictos de intereses.
Fuente de información Asociación Argentina de Alergia e Inmunología Clínica. Para solicitudes de reimpresión a Archivos de Alergia e Inmunología Clínica hacer click aquí.
Recibido | Aceptado | Publicado 2007-08-01
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Archivos de Alergia e Inmunología Clínica
Número 2 | Volumen
38 | Año 2007
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Etiquetas
urticaria crónica, habones, inmunorregulador, urticaria vasculitis
Tags
chronic urticaria, wheals, immunoregulator, urticaria vasculitis
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