ETIOLOGI
1. Obat : hampir semua obat (sering antibiotik: penisilin, kotrimoksasol, sedatif,
analgesik-antipiretik: NSID, aspirin;
prokain, insulin dll.
2. Makanan : protein susu, keju, kerang,
ikan (laut, asin,udang cumi), telor, bahan
tambahan pengawet & pewarna (asam
benzoat & sitrat), jamur/yeast. Akut :
mencatat makan 24 jam sebelumnya.
Kronis : diet 3 minggu, bila tak timbul
baru dicoba makanan yg disangka/
diduga.
3.
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8.
PATOGENESIS URTICARIA
Faktor imunologis
(Reaksi tipe 1 Kd 2&3)
F. non imunologis
Degranulasi
Pelepasan mediator
Histamin
Serotonin
Kinin
Prostaglandin
SRS-A
Anafilatoksin
Dll
Vasodilatasi kapiler
Permeabilitas meningkat
Transudasi
URTIKARIA
DIAGNOSIS
1.
CRONIC URTICARIA
DIAGNOSTIC PROGRAM
Allergy tests
1. Skin prick test & Physical skin tests
Serum enzymes
Spesific serum IgE
AST/ALT
ANA
Cryoglobulin
Alergy tests
PROVOCATION TESTS
Pseudoallergen-free diet
Food chalanges
Autologous skin serum test
Laboratory investigation
Thyroid hormones
Autoantibodies
Complement
PENGOBATAN
Antihistamin
Steroid
Kombinasi H1/H2 antagonis
Antihistamines
SEDATING
Alkylamines (Doxylamine, Dimetinden,
Pheniramine)
Ethanolamines (clemastine)
Phenothiazines (promethazine, Alimemazines)
Piperidines (Cyproheptadine, Ketotifen)
Others
LESS (NON) SEDATING
Butyrophenones (Terfenadine, Fexofenadine)
Piperazines (Cetirizine, Levocetirizine)
Piperidines (Astemizol, Loratadine,Desloratadin)
Urtikaria fisik
TERIMAKASIH