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Allergy. 2013 Jun;68(6):816-9. doi: 10.1111/all.12153. Epub 2013 May 6.

Practical algorithm for diagnosing patients with recurrent wheals or angioedema.

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1
Department of Dermatology and Allergy, Allergie-Centrum-Charité, Charité - Universitätsmedizin Berlin, Berlin, Germany. marcus.maurer@charite.de

Abstract

BACKGROUND:

Chronic urticaria is a common disorder characterized by recurrent wheals, angioedema, or both. Several differential diagnoses need to be considered in patients presenting with wheals and/or angioedema. These include rare diseases such as autoinflammatory syndromes and urticarial vasculitis in patients with recurrent wheals and bradykinin-mediated angioedema in patients with recurrent swellings. AIM AND RESULT: In order to not miss these conditions, we have developed a symptom-based diagnostic algorithm for the management of patients with wheals and/or angioedema.

DISCUSSION AND CONCLUSION:

By asking the right questions and performing a limited diagnostic workup as suggested here, this algorithm may help to establish the right diagnosis and treat patients early and more effectively.

PMID:
23646863
DOI:
10.1111/all.12153
[Indexed for MEDLINE]
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