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91.
《Actas dermo-sifiliográficas》2021,112(8):740-746
IntroductionCold Urticaria (ColdU) is a type of chronic inducible urticaria (CIndU) where recurrent pruritic wheals and/or angioedema occur after exposure to cold stimulus. Although it usually only affects exposed areas, systemic reactions can occur in severe cases. In this study, we seek to characterize the ColdU cases within our Centre's population of patients.Material and methodsRetrospective study based on clinical files of patients diagnosed with ColdU followed in an urticaria outpatient clinic in Portugal prior to October 2020.ResultsWe included 52 patients total (40 women) with median age of 35 years, 19 patients with symptom onset before 18 years-old. ColdU was classified as acquired in all patients. Cold provocation tests were negative in 9 patients and these were classified as atypical ColdU. No significant differences were found between those with pediatric or adult onset of disease. Most of the patients had a localized form of the disease (52%). Despite not being statistically significant, it was found that patient's temperature threshold, assessed with TempTest® 4.0, was higher and stimulation time was shorter in more severe groups. All patients were treated with non-sedating antihistamines (daily or on-demand), finding that those controlled with standard dosages had lower temperature thresholds than those needing higher dosages (p < 0.01). One patient was under treatment with omalizumab.ConclusionColdU is an heterogenous disease that can have life-threatening event consequences. Cold provocation tests and threshold assessment can be an important tool in the management treatment and in identifying severity groups. 相似文献
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目的比较冷光源与常规蓝光在新生儿黄疸治疗中的临床疗效。方法选取本院收治的新生儿黄疸患儿,随机分为冷光源蓝光组和常规蓝光组,比较和分析两组的临床治疗效果和血清胆红素浓度。结果冷光源蓝光组的临床显效率和总有效率均显著高于常规蓝光组,无效率显著低于常规蓝光组,治疗后48、96h的血清胆红素浓度均显著低于常规蓝光组,差异有统计学意义(P〈0.05)。结论冷光源蓝光在新生儿黄疸的临床治疗过程中较常规蓝光具有更显著的疗效,可作为新生儿黄疸较理想的治疗方案进行临床推广和应用。 相似文献
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BackgroundThere is little evidence that the decongestant, antihistamine, or cough suppressant medications commonly used to treat cold symptoms in preschool children are effective. One option for treating cold symptoms in young children is with homeopathy. This study was conducted to determine if a homeopathic syrup was effective in treating cold symptoms in preschool children.MethodsChildren 2–5 years old diagnosed with an upper respiratory tract infection were randomized to receive a commercial homeopathic cold syrup or placebo. Parents administered the study medication as needed for 3 days. The primary outcome was change in symptoms one hour after each dose. Parents also assessed the severity of each of the symptoms of runny nose, cough, congestion and sneezing at baseline and twice daily for 3 days, using a 4-point rating scale. A composite cold score was calculated by combining the values for each of the four symptoms.ResultsAmong 261 eligible participants, data on 957 doses of study medication in 154 children were analyzed. There was no significant difference in improvement one hour after the dose for any symptom between the two groups. Analysis of twice daily data on the severity of cold symptoms compared to baseline values found that improvements in sneezing, cough and the composite cold score were significantly greater at both the first and second assessments among those receiving the cold syrup compared to placebo recipients.ConclusionThe homeopathic syrup appeared to be effective in reducing the severity of cold symptoms in the first day after beginning treatment. 相似文献
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目的 比较海博刀与三角刀在经口内镜下肌切开术(POEM)中的临床疗效。方法 采用回顾性队列研究设计,纳入2012年6月至2014年7月因贲门失弛缓症在南方医科大学南方医院接受POEM治疗的患者,术中使用海博刀者为海博刀组,使用注射针和三角刀者为三角刀组,比较两组手术相关参数、术后症状缓解及并发症发生率。结果 共纳入57例患者,其中海博刀组25例,三角刀组32例。两组患者基线特征比较差异无统计学意义(P>0.05)。海博刀组平均手术时间短于三角刀组[(55.3±17.7)min比(69.5±9.4)min,P=0.038)];术中平均器械交换次数少于三角刀组[(4.5±1.5)次比(10.7±1.7)次,P=0.000]。所有患者无严重不良事件发生。在1年的随访中,海博刀组治疗成功率92.0%(23/25),三角刀组96.9%(31/32),差异无统计学意义(P=0.576)。结论 海博刀能显著缩短POEM手术时间,并且获得与三角刀相似的治疗成功率。 相似文献
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