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Urtikaria

Klassifikation und Diagnose

Urticaria

Classification and diagnosis

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Zusammenfassung

Die Urtikaria zählt zu den häufigsten dermatologischen Erkrankungen. Ihre Pathogenese wird erst ansatzweise verstanden, jedoch konnten durch systematische Untersuchungen während der letzten Jahre die wichtigsten auslösenden Faktoren für die verschiedenen Formen der Urtikaria identifiziert werden. Aufgrund dieser Ergebnisse wird empfohlen, die Diagnostik der akuten Urtikaria möglichst auf Anamnese und körperliche Untersuchung zu beschränken, während bei der chronischen Urtikaria vor allem nach Medikamenten, Infektionen, pseudoallergischen Reaktionen und Autoimmunprozessen als Ursachen gesucht werden sollte. Für die Diagnostik der physikalischen Urtikaria empfehlen sich standardisierte Provokationstestungen.

Abstract

Urticaria belongs to the most frequent dermatologic diseases. Although the pathogenesis of urticaria is not fully understood, systematic studies in recent years have identified the most important triggering factors of the different forms of urticaria. Based on these results, it is recommended to restrict diagnostic procedures in acute urticaria to history and physical examination, while in chronic urticaria, one should exclude drugs, infections, pseudoallergic reactions, and autoimmune processes as causes. For the diagnosis of physical urticaria, standardized provocation test are recommended.

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Authors and Affiliations

  1. Klinik und Poliklinik für Dermatologie und Venerologie der Universität zu Köln, Köln

    K. Hartmann

  2. Klinik und Poliklinik für Dermatologie und Venerologie der Universität zu Köln, Joseph-Stelzmann-Straße 9, 50931 , Köln

    K. Hartmann

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  1. K. Hartmann
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Correspondence to K. Hartmann.

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Hartmann, K. Urtikaria. Hautarzt 55, 340–343 (2004). https://doi.org/10.1007/s00105-004-0705-8

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  • DOI: https://doi.org/10.1007/s00105-004-0705-8

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