144例感染相关性荨麻疹临床分析

摘要

目的：：分析感染相关性荨麻疹的临床特点，为诊治提供参考。方法：回顾性分析144例感染相关性荨麻疹患者的临床资料，总结感染相关性荨麻疹的病因、临床表现、实验室检查结果和治疗、转归情况。结果：144例患者以上呼吸道感染为主，其次是扁桃体炎。儿童比成人更易出现发热，但咽痛、呼吸不畅的比例比成人低；实验室检查多数患者白细胞、中性粒细胞比率、C反应蛋白升高；11例患者咽拭子培养阳性，部分患者过敏原检测阳性。入院后所有患者均常规治疗，1个月后随访部分患者，皮疹无复发。结论：急性荨麻疹皮损和症状相对较重，感染是重要诱因，经积极抗过敏、抗感染治疗，明显有效，且不易复发。%Objective:To analyze the clinical features of infection related urticaria and provide reference for diagnosis and treatment.Methods:The clinical data of 144 cases of infection related urticaria were retrospectively analyzed, and the pathogenesis, clinical manifestations, laboratory test results, treatment and prognosis of all the patients were summarized. Results:Among 144 cases of urticaria, upper respiratory tract infection was the most, and followed by tonsillitis. Compared with adults, children were more likely to suffer fever; but the ratio of pharyngalgia and poor breath were obviously lower than adults. Laboratory test results showed that most of the patients with increasing of white blood cells, neutrophil ratio and C-reactive protein. The pharynx swab culture was positive in 11 patients, and the allergen was positive in part of the patients. All the patients were given conventional therapy after hospitalization; Part of the patients were followed up after 1 month, and no recurrence cases.Conclusions: The skin lesion and symptoms of acute urticaria are fairly serious, and infection is one of the important inducements. Antianaphylactic treatment and anti-infective therapy are effective and the recurrence rate is low.