{"id":224,"date":"2020-03-20T13:52:17","date_gmt":"2020-03-20T11:52:17","guid":{"rendered":"http:\/\/dr-bocanescu.com\/?p=224"},"modified":"2020-03-20T13:54:13","modified_gmt":"2020-03-20T11:54:13","slug":"esentialul-despre-urticarie","status":"publish","type":"post","link":"https:\/\/dr-bocanescu.com\/en\/esentialul-despre-urticarie\/","title":{"rendered":"Esentialul despre Urticarie"},"content":{"rendered":"<p> <strong>Urticaria <\/strong> <\/p>\n\n\n\n<p>\u2022<strong>afec\u0163iune plurifactorial\u0103 <\/strong> \u2022<strong>afectare cutaneo-mucoas\u0103 <\/strong> \u2022<strong>localizat\u0103 dermic sau hipodermic<\/strong> \u2022<strong>caracterizat\u0103 printr-o erup\u0163ie urticarian\u0103<\/strong> \u2022<strong>angioedem (edem Quinke)<\/strong> \u2022<strong>edemul masiv al \u0163esutului subcutanat<\/strong> \u2022<strong>reac\u0163ie anafilactic\u0103 <\/strong> \u2022<strong>reac\u0163ie alergic\u0103 acut\u0103 produs\u0103 prin mecanism Hsb I<\/strong> \u2022<strong>eritem \/ urticarie \/ angioedem, hTA, aritmii cardiace <\/strong> \u2022<strong>reac\u0163ie anafilactoid\u0103 <\/strong> \u2022<strong>este similar\u0103 clinic reac\u0163iei anafilactice <\/strong> \u2022<strong>declan\u015fat\u0103 prin mecanism ne-alergic<\/strong><\/p>\n\n\n\n<p> \u2022<strong>erup\u0163ie diseminat\u0103 cu tendin\u0163\u0103 la generalizare<\/strong> \u2022<strong>macule, papule, pl\u0103ci, placarde eritematoase<\/strong> \u2022<strong>leziuni edematoase, roz-palide, contur circinat<\/strong> \u2022<strong>tendin\u0163\u0103 la albire central\u0103 sau cu halou alb<\/strong> \u2022<strong>prurit intens <\/strong> \u2022<strong>o leziune&nbsp; individual\u0103 persist\u0103 maxim 24 ore <\/strong> \u2022<strong>manifest\u0103ri sistemice: cefalee, ame\u0163eli, artralgii, grea\u0163\u0103, dureri abdominale, diaree<\/strong>.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" width=\"416\" height=\"396\" src=\"http:\/\/dr-bocanescu.com\/wp-content\/uploads\/2020\/03\/image-7.png\" alt=\"\" class=\"wp-image-226\" srcset=\"https:\/\/dr-bocanescu.com\/wp-content\/uploads\/2020\/03\/image-7.png 416w, https:\/\/dr-bocanescu.com\/wp-content\/uploads\/2020\/03\/image-7-300x286.png 300w\" sizes=\"(max-width: 416px) 100vw, 416px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" width=\"289\" height=\"392\" src=\"http:\/\/dr-bocanescu.com\/wp-content\/uploads\/2020\/03\/image-8.png\" alt=\"\" class=\"wp-image-227\" srcset=\"https:\/\/dr-bocanescu.com\/wp-content\/uploads\/2020\/03\/image-8.png 289w, https:\/\/dr-bocanescu.com\/wp-content\/uploads\/2020\/03\/image-8-221x300.png 221w\" sizes=\"(max-width: 289px) 100vw, 289px\" \/><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<p><em>Clasificare clinica<\/em><\/p>\n\n\n\n<p> \u2022<strong>urticaria comun\u0103<\/strong><\/p>\n\n\n\n<p> \u2022<strong>urticaria fizic\u0103<\/strong><\/p>\n\n\n\n<p> \u2022<strong>urticaria vasculitic\u0103<\/strong><\/p>\n\n\n\n<p> \u2022<strong>urticaria de contact<\/strong><\/p>\n\n\n\n<p> \u2022<strong>angioedemul<\/strong> <\/p>\n\n\n\n<p>\u2022<strong>sindroame urticariene distincte<\/strong><\/p>\n\n\n\n<p> <\/p>\n\n\n\n<p>Tratamentul in urticaria acuta presupune urmatoarele obiective:<\/p>\n\n\n\n<p>  -\u00eendep\u0103rtarea agentului etiologic <br> -de elec\u0163ie: anti H1 nesedative <br> -cazuri severe de urticarie: corticoterapia \u00een cure de scurt\u0103 durat\u0103 <br>  -edem laringian \/ afectare respiratorie: 0,2 &#8211; 0,4 mL adrenalin\u0103 1\u2030 <br> -urticaria de debut recent (&lt;24 ore) se interneaz\u0103  <\/p>\n\n\n\n<p>Tratamentul in urticaria cronica<\/p>\n\n\n\n<p> \u2022<strong>reprezint\u0103 o provocare pentru orice medic<\/strong> <\/p>\n\n\n\n<p>\u2022anamnez\u0103 am\u0103nun\u0163it\u0103 ( = cheia succesului) <\/p>\n\n\n\n<p> \u2022prima linie terapeutic\u0103: anti H1 ne-sedative <\/p>\n\n\n\n<p>\u2022AERIUS este singurul care a dovedit ac\u0163iune eficient\u0103 \u00een reducerea pruritului \u015fi leziunilor urticariene  <\/p>\n\n\n\n<p>\u2022corticoterapia este indicat\u0103 numai \u00een cazurile de urticarie cronic\u0103 acutizat\u0103, sever\u0103.  \u2022terapii alternative: colchicin\u0103, plasmaferez\u0103, dapson\u0103, ciclosporin\u0103, doxepina,<strong> <\/strong>androgeni sintetici, terapie cu ultraviolete, anticorpi monoclonali etc. <\/p>\n\n\n\n<p> Tratamentul simptomatic va poate ajuta sa faceti fata simptomelor neplacute ale urticariei, iar prin colaborarea stransa medic dermatolog-alergolog-medic de familie se poate asigura comfortul pacientului.<\/p>","protected":false},"excerpt":{"rendered":"<p>Urticaria \u2022afec\u0163iune plurifactorial\u0103 \u2022afectare cutaneo-mucoas\u0103 \u2022localizat\u0103 dermic sau hipodermic \u2022caracterizat\u0103 printr-o erup\u0163ie urticarian\u0103 \u2022angioedem (edem Quinke) \u2022edemul masiv al \u0163esutului subcutanat \u2022reac\u0163ie anafilactic\u0103 \u2022reac\u0163ie alergic\u0103 acut\u0103<span class=\"excerpt-hellip\"> [\u2026]<\/span><\/p>","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[1],"tags":[],"_links":{"self":[{"href":"https:\/\/dr-bocanescu.com\/en\/wp-json\/wp\/v2\/posts\/224"}],"collection":[{"href":"https:\/\/dr-bocanescu.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/dr-bocanescu.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/dr-bocanescu.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/dr-bocanescu.com\/en\/wp-json\/wp\/v2\/comments?post=224"}],"version-history":[{"count":2,"href":"https:\/\/dr-bocanescu.com\/en\/wp-json\/wp\/v2\/posts\/224\/revisions"}],"predecessor-version":[{"id":229,"href":"https:\/\/dr-bocanescu.com\/en\/wp-json\/wp\/v2\/posts\/224\/revisions\/229"}],"wp:attachment":[{"href":"https:\/\/dr-bocanescu.com\/en\/wp-json\/wp\/v2\/media?parent=224"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/dr-bocanescu.com\/en\/wp-json\/wp\/v2\/categories?post=224"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/dr-bocanescu.com\/en\/wp-json\/wp\/v2\/tags?post=224"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}