Abstract
Urticaria is a heterogeneous group of disorders, with various clinical manifestations and intensity of symptoms. Urticaria can be induced with a wide variety of environmental stimuli, such as cold, pressure, vibration, sunlight, exercise, temperature changes, heat, and water. In a select group of patients, exercise can induce a spectrum of urticaria symptoms, ranging from cutaneous pruritus and warmth, generalised urticaria, angioedema, and the appearance of such additional manifestations as collapse, upper respiratory distress, and anaphylaxis. Specific provocation tests should be carried out on an individual basis to investigate the suspected cause and proper diagnosis. Modification of activities and behaviour is the mainstay of treatment in patients with physical urticaria. The aim of this study was to emphasise that primary care paediatricians should be able to recognise physical urticaria, supply a patient with rescue medications, and refer him/her to a specialist. In the article, the authors present a 13-year-old girl with typical urticaria lesions and angioedema after exercise. According to the history, physical examination, and provocation test, exercise-induced urticaria and angioedema were diagnosed.
Highlights
Urticaria is a heterogeneous group of disorders, with various clinical manifestations and intensity of symptoms
Z wywiadu wiadomo, że ojciec choruje na zespół Melkerssona-Rosenthala
Reasumując problematykę niniejszej pracy, należy podkreślić, jak istotnym jest, dla lekarza pediatry, aby na podstawie szczegółowo zebranego wywiadu, badania przedmiotowego prawidłowo wdrożył postępowanie wstępne, zaopatrzył pacjenta w leki interwencyjne i skierował go do lekarza alergologa
Summary
Urticaria is a heterogeneous group of disorders, with various clinical manifestations and intensity of symptoms. Podstawą leczenia pokrzywki fizykalnej jest edukacja chorych oraz zmiana zachowań pacjentów, zwyczajów i aktywności przez nich prowadzonych. Celem pracy jest podkreślenie wagi prawidłowej identyfikacji objawów pokrzywki/anafilaksji powysiłkowej przez lekarza pediatrę, zaopatrzenia pacjenta w leki interwencyjne i skierowania do specjalisty.
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