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J Am Osteopath Assoc ; 112(2): 90-2, 2012 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-22331803

RESUMEN

Hypocomplementemic urticarial vasculitis syndrome (HUVS) is a type III hypersensitivity reaction characterized by urticaria with persistent acquired hypocomplementemia. Although HUVS is uncommon, it is important for physicians to be familiar with this disease, as the initial presentation is often life-threatening angioedema. The author reports the case of a 47-year-old white woman with a history of HUVS. She presented to an outpatient clinic complaining of a rash and difficulty swallowing. Urticaria and angioedema were diagnosed. The patient was given epinephrine in the clinic and then transferred to the hospital. Laboratory testing confirmed urticaria, and the patient was given intravenous methylprednisolone sodium succinate and an additional dose of epinephrine. After 1 week, the patient's angioedema improved.


Asunto(s)
Angioedema/diagnóstico , Angioedema/tratamiento farmacológico , Proteínas del Sistema Complemento/deficiencia , Urticaria/diagnóstico , Vasculitis/diagnóstico , Angioedema/inmunología , Autoanticuerpos/análisis , Epinefrina/uso terapéutico , Femenino , Humanos , Infusiones Intravenosas , Hemisuccinato de Metilprednisolona/administración & dosificación , Persona de Mediana Edad , Enfermedades Raras , Medición de Riesgo , Índice de Severidad de la Enfermedad , Síndrome , Resultado del Tratamiento , Urticaria/inmunología , Vasculitis/inmunología
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