Холинергическая крапивница – что это за болезнь? Холинергическая крапивница – кожный дерматит аллергического характера, caused by the human immune system sensitivity to mediatoru acetylcholine.
Characteristic education is the manifestation of the integuments blisters pale-pink, very itch.
Provokes holinergicescoy urticaria neurotransmitter acetylcholine. By acetylcholine, implemented regulation of neuromuscular activity of the human body.
The main condition for the development of genetic predisposition is urticarial holinergicescoy person to allergies and increased acetylcholine production organism. Sverhproducirovanie acetylcholine provokes exacerbations of chronic diseases, in particular, diseases of the GASTROINTESTINAL TRACT, vascular and endocrine systems
Factors, that provoke the development of disease:
On the skin of the patient are formed blisters reddish tint in the middle and richer to the edges, diameter 3-4 mm, on your mind remind nettle Burns. In addition to the external characteristic manifestations, there are additional signs:
A distinctive feature of most types of allergic reactions, is that, that define holinergicescuu hives is not difficult. For diagnostic use provocative trial (in the body of the patient injected synthetic substance similar in composition with acetylcholine), as well as using confirmatory factor (the patient's hands dipped in hot water). Diagnosis is carried out in case of bubbles and swellings after provocative samples. Additionally carry out blood tests for allergens, in order to eliminate other factors causing hives.
For correct diagnosis applied skin test, to do this, the patient is injected drug, chemical composition, identical to acetylcholine.
For the skin test is used karboholin 0,01 ml, its vvodjatpodkozhno. After 15-20 minutes to assess the size of the spots, If the spot size to 7-8 mm is a variant of the rules, Allergic stain over 15 mm indicates holinergicescuu cause lesions on the skin.
Also, for diagnostic purposes, используют провоцирующие факторы – искусственная стимуляция аллергической реакции. For this purpose it is necessary to, What would a patient omitted at your hands in the water a few minutes, temperature equals 42-45° c. If the cause of the lesions is holinergical urticaria, sometime during the 2-3 minutes in the hands of the patient will appear blisters, skin redness and swelling is formed.
The patient should pass a blood test for allergens, that would exclude other factors, that could cause rashes.
An important factor in the diagnosis of this disease is examined by specialized professionals: endocrinologist, gastroenterologist, cardiologist and t. P. Because the holinergical hives often provokes systemic diseases, and their diagnosis and treatment is necessary in order, to further therapy urticaria was effective.
This classification is not granted.
The patient should consult an allergist, as well as screening at functional specialists.
Treatment methods include local hives holinergicescoy therapy, the use of gels and ointments. Preparations for the treatment of this disease have extract krasavki and atropine, which is directed at suppressing the activity of acetylcholine. Use antigistaminnah drugs ineffective, because an allergic reaction occurs due to substances, which produces the organism itself.
The choice of means and methods of treating physician determines, because self-treatment may be complications in the form of other allergic reactions. In case of complications, symptoms aggravated by rhinitis, cough, headaches, conjunctivitis. Data manifestations require separate therapies using antigistaminnah drugs and vitamin complexes.
In some cases, allergies can provoke irritability and insomnia, When these symptoms need to corticosteroids and sedation. You must also pass an additional examination and treatment of chronic diseases.
Not disclosed.
Those patients, who was diagnosed holinergical urticaria, the following rules must be observed in order to prevent its recurrence:
This site uses cookies and services to collect technical data from visitors to ensure performance and improve the quality of service.. By continuing to use our site, you automatically agree to the use of these technologies.
Read More