An approach to the hospitalized patient with urticaria and fever
Identifieur interne : 001582 ( Main/Exploration ); précédent : 001581; suivant : 001583An approach to the hospitalized patient with urticaria and fever
Auteurs : Robert Micheletti [États-Unis] ; Misha Rosenbach [États-Unis]Source :
- Dermatologic Therapy [ 1396-0296 ] ; 2011-03.
English descriptors
- Teeft :
- Acad dermatol, Acute urticaria, Angioedema, Antihistamine, Arch dermatol, Arthralgia, Arthropathy syndrome, Atypical, Atypical lymphocytes, Atypical urticarial lesions, Atypical wheals, Bone pain, Cause urticaria, Chronic urticaria, Common cause, Common causes, Common skin disorder, Complement levels, Comprehensive history, Cutaneous, Cutaneous lesions, Daily adult, Daily child, Dermatol, Diagnostic approach, Differential diagnosis, Family history, Fever table, Further testing, Hematologic diseases, Immunologic disorders, Infectious causes, Infectious diseases, Initial dose, Lesion, Livedo reticularis, Medication, Micheletti rosenbach, Ndings, Neurologic cutaneous, Other antibiotics, Other causes, Parasitic infections, Periodic fever, Physical exam, Physical examination, Polyarteritis nodosa, Polycythemia vera, Randomized study, Refractory cases, Refractory urticaria, Schnitzler, Schnitzler syndrome, Serum sickness, Side effects, Simple urticaria, Such patients, Symptom, Syndrome, Systemic, Systemic disease, Systemic diseases, Systemic involvement, Systemic lupus erythematosus, Systemic steroids, Systemic symptoms, Urticaria, Urticarial, Urticarial lesions, Urticarial syndromes, Urticarial vasculitis, Vasculitis, Weight loss, Wheal, Workup.
Abstract
Urticaria is a common skin disorder with a long differential diagnosis. Most cases are readily treated symptomatically and have no systemic implications. However, a number of diseases and syndromes, including vasculitides, immunologic disorders, infectious diseases, hematologic diseases, and autoinflammatory syndromes, can present with urticaria and systemic symptoms, which may lead to hospitalization of the patient. These urticarial syndromes are important to recognize as they often have significant health implications. A comprehensive history and physical exam is important in distinguishing cases of simple urticaria from these syndromes. The presence of atypical wheals, systemic symptoms such as fever or arthralgia, and a lack of response to antihistamine therapy are important diagnostic clues that should prompt further workup.
Url:
DOI: 10.1111/j.1529-8019.2011.01394.x
Affiliations:
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history</term><term>Fever table</term><term>Further testing</term><term>Hematologic diseases</term><term>Immunologic disorders</term><term>Infectious causes</term><term>Infectious diseases</term><term>Initial dose</term><term>Lesion</term><term>Livedo reticularis</term><term>Medication</term><term>Micheletti rosenbach</term><term>Ndings</term><term>Neurologic cutaneous</term><term>Other antibiotics</term><term>Other causes</term><term>Parasitic infections</term><term>Periodic fever</term><term>Physical exam</term><term>Physical examination</term><term>Polyarteritis nodosa</term><term>Polycythemia vera</term><term>Randomized study</term><term>Refractory cases</term><term>Refractory urticaria</term><term>Schnitzler</term><term>Schnitzler syndrome</term><term>Serum sickness</term><term>Side effects</term><term>Simple urticaria</term><term>Such patients</term><term>Symptom</term><term>Syndrome</term><term>Systemic</term><term>Systemic disease</term><term>Systemic diseases</term><term>Systemic involvement</term><term>Systemic lupus erythematosus</term><term>Systemic steroids</term><term>Systemic symptoms</term><term>Urticaria</term><term>Urticarial</term><term>Urticarial lesions</term><term>Urticarial syndromes</term><term>Urticarial vasculitis</term><term>Vasculitis</term><term>Weight loss</term><term>Wheal</term><term>Workup</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Urticaria is a common skin disorder with a long differential diagnosis. Most cases are readily treated symptomatically and have no systemic implications. However, a number of diseases and syndromes, including vasculitides, immunologic disorders, infectious diseases, hematologic diseases, and autoinflammatory syndromes, can present with urticaria and systemic symptoms, which may lead to hospitalization of the patient. These urticarial syndromes are important to recognize as they often have significant health implications. A comprehensive history and physical exam is important in distinguishing cases of simple urticaria from these syndromes. The presence of atypical wheals, systemic symptoms such as fever or arthralgia, and a lack of response to antihistamine therapy are important diagnostic clues that should prompt further workup.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Pennsylvanie</li></region></list><tree><country name="États-Unis"><region name="Pennsylvanie"><name sortKey="Micheletti, Robert" sort="Micheletti, Robert" uniqKey="Micheletti R" first="Robert" last="Micheletti">Robert Micheletti</name></region><name sortKey="Rosenbach, Misha" sort="Rosenbach, Misha" uniqKey="Rosenbach M" first="Misha" last="Rosenbach">Misha Rosenbach</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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