(CCTV Finance "Workplace Health Class") Everyone often uses "to come without a shadow, to go without a trace" to describe the causes of acute urticaria this skin disease is two, one is that it is not familiar with it, when it quietly passes through your body, you may not know, the second is to come too fast, endure, it will be calm. It's fragile, so fragile that many triggers can be triggered; it's powerful, powerful enough to take your life. Don't think that urticaria is a small skin disease, it is an important cause of sudden death and drowning, and it is a "killer" hidden around you.
Is the "ghost wind knot" often said by ordinary people really scratching more and more itchy? What are the tips for self-testing urticaria at home? What are the allergens that induce urticaria?
Hidden killer: urticaria
Urticaria, also known as "rubella block", medical terminology called "wheal", is often called "wind knot", it is a kind of edema reaction due to the expansion and penetration of small blood vessels in the skin and mucous membranes. It can present as a wheal, as angioedema, or both. Usually the symptoms are mainly itching unbearable.
Urticaria is a high spring incidence and is also a common and frequent disease in dermatology. Whether in the outpatient clinic, emergency department, or inpatient department, there will be urticaria patients. This is because about 1/4 of the people in our population will get urticaria at least once in their lifetime, and 1/4 of these 1/4 may become chronic urticaria patients.
Generally speaking, the boundary between acute and chronic urticaria is mainly divided by the duration of the disease, less than six weeks is acute urticaria, and more than six weeks is chronic urticaria. Acute urticaria can develop into severe allergic reactions, also known as allergic reaction syndrome.
Looking at this picture, is it all goosebumps. This is just the appearance, urticaria is not only a symptom on the skin, but when severe, it can affect the respiratory tract, digestive tract, cardiovascular system, and even the nervous system.
Urticaria can affect the respiratory system, causing small airways, bronchospasm in the human body, there will be symptoms such as holding breath, chest tightness, breathlessness, difficulty breathing, and sometimes suffocation, which can lead to death.
There is also the digestive system, which can show nausea, vomiting, diarrhea, abdominal pain and so on. When urticaria affects the nervous system, irritability, confusion, and even loss of consciousness, syncope, etc., the more serious result is that if the rescue is not timely, it can endanger life.
Perhaps, you think of hives as a "loner". Non also. There are many diseases that may have concomitant urticaria: autoimmune diseases such as thyroid, lupus erythematosus, etc.; acute or chronic infections, such as upper respiratory tract infections, urinary tract infections, Helicobacter pylori infections, gastrointestinal diseases, cholecystitis, gallstones, etc.; tumors, such as lymphoma, myeloma, etc.; neuropsychiatric diseases, such as depression. There is no sense of urticaria everywhere.
Someone has a pair of ear-catching ears, which is a figurative metaphor. And you who have been in a state of mental stress for a long time and have an imbalance in life and work, but you have a sick body, not to mention urticaria, other diseases can not be stopped.
Professor Liu Lingling, chief physician of the Department of Dermatology of Peking University First Hospital, reminds professionals to identify urticaria in their daily work, understand the characteristics of urticaria, and prevent contact allergens.
There are three main characteristics of urticaria: one is that the surface of the skin generally appears rash, wheal, angioedema; the second is that it subsides from time to time, fades without leaving a trace, comes and goes quickly; the third is itching, or there is some burning sensation.
For special urticaria, it is convenient to conduct a self-test at home through an ice test or a skin scratch test.
Professor Liu particularly emphasized the need for standardized treatment. The so-called standardized treatment, mainly from the doctor's point of view, should be based on the condition and individual differences, weigh the efficacy of the drug, choose the correct treatment plan and means; from the patient's point of view, to follow the doctor's instructions, on time and quantitative treatment, responsible for their own health.
Prevention and treatment of urticaria
1
Who is at high risk of urticaria?
According to statistics, the incidence of urticaria is higher than that of men, the relative incidence of children and the elderly is small, young and middle-aged people are the most susceptible to disease, and the age of first onset is mostly in the age group of 20 to 40 years old. The high incidence of young and middle-aged people is mainly due to the wide range of social life, the increased chance of receiving infection, and the high pressure of work and mental stress.
For acute urticaria, it can be present at all ages, and the probability of disease is not much different, but relatively speaking, the incidence of young and middle-aged people is higher.
2
What triggers can trigger hives?
The causes of urticaria are very complex, and the common factors are: food and food additives; infections; drugs; physical factors such as mechanical stimulation, hot and cold, daylight, etc.; mental factors and endocrine changes; genetic factors.
3
What are the classifications of urticaria?
According to the duration of the disease: acute urticaria is less than 6 weeks, while chronic urticaria is equal to more than 6 weeks. It can also be subdivided into:
4
Can urticaria be prevented?
At present, the medical level is not up to the point of completely preventing urticaria with one drug or treatment. This is mainly those who do not have an explicit cause, or external factors such as mental stress, or patients who cannot be completely eradicated due to other diseases, such as thyroid disease. However, for known allergens, it is a preventive effect to minimize or not contact with inducing factors, such as seafood, eggs, milk, drugs, etc.
5
How is urticaria treated?
For acute urticaria, more than 90% of patients can achieve self-healing or cure without treatment or drug treatment, while for chronic urticaria, about 50% of patients can also be cured. For people with serious diseases, treatment methods such as combination drugs and increased doses can be used from the perspective of standardized and individualized treatment. The disease hidden behind urticaria is the most dangerous and can easily be ignored, so according to the condition, you should seek medical attention in time.
Liu Lingling, chief physician of the Department of Dermatology of Peking University First Hospital, will be a guest on the "Workplace Health Class" program of CCTV Finance Channel, talking about the high-risk groups of urticaria, the causes and how to treat it, and at 18:05 on March 18, please watch CCTV Finance's "Workplace Health Class".
(Editor of this article: Wei Yuanyuan)