最近审阅: 23 十月 2020
最近更新: 26 六月 2020

小结

定义

病史和体格检查

关键诊断因素

  • 红斑性水肿性皮损
  • 瘙痒
  • 24 小时内可消退
  • 面部、舌或唇的水肿

其他诊断因素

  • 压之褪色的皮损
  • 喘鸣

危险因素

  • 阳性家族史
  • 女性
  • 药物诱因的暴露
  • 接触食物触发因素
  • 近期病毒性感染
  • 最近被昆虫叮咬或蜇伤

诊断性检查

首要检查

  • FBC 和分类计数
  • 红细胞沉降率 (ESR)
  • C 反应蛋白 (CRP)
  • C4水平
更多 首要检查

需考虑的检查

  • 促甲状腺素 (TSH)
  • 抗核抗体 (ANA)
  • 皮肤点刺试验
  • 避过敏原饮食
  • 血清纤维蛋白溶酶
  • 皮肤活检
  • C1 酯酶抑制剂水平
  • C1 酯酶抑制物功能
  • C1q 水平
  • 针对可疑过敏原的特异性 IgE 检测
更多 需考虑的检查

治疗流程

撰稿人

Professor of Medicine

Department of Internal Medicine

Division of Immunology/Allergy Section

University of Cincinnati

Cincinnati

OH

利益声明

JB is a consultant, contracted researcher, and speaker for Sanofi-Regeneron, AstraZeneca, Novartis/Regeneron, Shire/Takeda, CSL Behring, Pharming. He is also a consultant and contracted researcher for Allakos, Kalvista, Bioscryst, IONIS. JB is a member of the Joint Task Force practice parameter. JB has spoken on this topic at National, International and Regional/Local Educational meetings. JB is an author of abstracts and manuscripts related to these topics and is an author of a number of references cited in this topic.

Dr Jonathan Bernstein would like to gratefully acknowledge Dr S. Shahzad Mustafa and Dr Stephen Dreskin, previous contributors to this topic.

利益声明

SM is on the speakers' panel and advisory board for Genentech. SD declares that he has no competing interests.

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Consultant Dermatologist

Warwick Hospital

Honorary Associate Professor

University of Warwick

Warwick Hospital

Warwick

UK

利益声明

FH has attended educational events organised and funded by Almrall and Schering Plough; has received a speaker's fee from Steibel, Leo, and Schering Plough; and is an author of references cited in this topic.

Consultant in Dermatology

University Hospital of South Manchester

Manchester

UK

利益声明

None declared.

Head of Allergy and Training Program Director

Winthrop University Hospital

Associate Professor of Clinical Medicine

SUNY at Stony Brook

Stony Brook

NY

利益声明

LF declares that she has no competing interests.

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