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There are many different clear-cut symptoms for urticaria diagnosis;
however, clinical diagnosis is usually made by close examination of the skin
eruptions. After it is has been observed and experienced once, the patient can
recognize urticaria. The precise
urticaria
diagnosis in terms of its causes and triggers is made after a careful,
systematic case history is taken by the dermatologist. The patient needs to
provide accurate information and may need to eliminate certain allergens,
including food products once suspected. However, in the case of
pruritic urticarial papules and plaques of pregnancy, the patient has to be
extra careful and diagnosis should be made as soon as possible.
In most cases, because of the heterogeneity of urticaria and its different
types, guidelines for diagnosis might start with a regular patient health
checkup, which should comprise a thorough history, physical examination of the
skin, and the ruling out of severe systemic disease utilizing various laboratory
tests. Such laboratory tests should be performed based on the suspected cause.
During the process of urticaria diagnoses, the most important objective is to
obtain a comprehensive history, including all possible eliciting factors and
significant aspects of the nature of the urticaria. The following factors are to
be kept in mind when diagnosing urticaria:
- Occurring frequency and duration of welts or wheals
- Timing of onset of disease
- Family history regarding urticaria
- Size, shape, color and distribution of the welts
- Any reaction to insect bites such as a wasp sting
- Associated angioedema, if any
- Other associated symptoms, such as difficulty breathing, itching, or
pain
- Any previous or current infections, allergies, or internal diseases
- Any physical agent, such as exercise
- Any drug that the patient takes regularly, including injections,
immunizations, hormones, laxatives, suppositories, ear and eye drops, etc
- Hobbies and type of routine work
- Rate of occurrence in relation to foreign travel
- Emotional factors and stress
P.S. (from
Dr. Gary M. Levin, M.D. & Surgeon)
I know what you may feel and think - "I am lost! I don't have any chance to
get cured etc" - I have heard this numerous times and I must tell you this: I
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