Edema of the quinck
Symptoms and treatment of Quincke edema (angioedema)
October 7, 2013 0 Comments
Edema Quincke - predominantly allergic reaction of the organismon the effect of various chemical and biological factors. For the first time this condition was described in 1882 by the German doctor Heinrich Quinck, on whose behalf the name of this disease occurs. Quincke's edema is also commonly called angioedema. giant hives .
In the process of development of this acute allergicdisease in humans there is a massive swelling of the skin, mucous membrane and subcutaneous fat. The most frequent angioedema is manifested on the neck, and on the upper half of the trunk. It is also possible the manifestation of edema on the back of the feet and brushes. Rare are the situations where the angioedema affects the joints, the membranes of the brain, and other organs.
Quincke edema can occur in every person, but still the highest risk of developing this condition exists in patients who have all kinds of allergies. Most often this disease occurs in children and young women, they are less likely to suffer from elderly people.
There are two types of Quincke edema: swelling allergic and swelling pseudoallergic. With the development of the edema of Quincke, the reasons for thisthe states in each case are different. In the first form of the disease, the manifestation of Quincke's edema, the symptoms of which are observed in people prone to allergy, arises as a consequence of a particularly strong allergic reaction of the human body. Such a reaction is a kind of response to the appearance in the body of a specific allergen. Very often this condition can be combined with allergyon food. hives. bronchial asthma. Pollinosis .
People who have congenital pathology of the complement system often suffer from Quincke's pseudoallergic edema. The system of compliment is usually called groupproteinsblood. who take part in the developmentallergic and primary immune reactions. These proteins are constantly in an inactive state: their activation occurs exclusively during the entry of a foreign antigen into the body. In the event of the pseudoallergic edema of Quincke, the compliment system is activated either spontaneously or as a reaction to thermal, cold, chemical irritations. As a result, a person has a strong allergic reaction.
Quincke's edema in young children is manifestedrelatively rare. However, even in an infant this danger can arise. Most often, angioedema develops in girls and women.
In a patient with edema Quincke, the symptoms,all, are manifested by the appearance of acute edema of the face, neck, feet and hands on their back side. The skin in the place of edema pales noticeably. As a rule, with the swelling of the Quinck itching does not occur. In various situations, the manifested swelling of Quincke disappears after several hours or days.
For man the greatest danger is swelling larynx. pharynx. trachea. According to medical statistics, suchmanifestations occur in every fourth patient with angioedema. With a similar development of the disease, the patient begins to experience severe anxiety, it becomes difficult to breathe, he can lose consciousness. When examining the mucous membrane of the throat, swelling of the soft palate and palatine arches is detected, the lumen of the pharynx is narrowed. If the swelling spreads to the trachea and larynx, death of a person from suffocation is possible.
Angioedema in children occurs aslimited swelling of the skin, as well as mucous membranes. If there is a swelling of the Quincke, severe abdominal pain, vomiting and diarrhea may be disturbing on the child's internal organs.
The diagnosis in this case is established after the doctor has familiarized himself with the symptoms of the disease. Also, the reaction of the edema to the administration epinephrine. In the process of diagnosis it is very important to determine,what exactly became the cause of the patient's edema Quincke. Therefore, the doctor must necessarily conduct a detailed survey on the presence of allergic diseases in the patient, as well as with his family members. It is important to determine its response to drugs, the effect on the human condition of physical factors, contact with animals, food, etc.
During the diagnosis, the doctor can appointconducting a laboratory blood test. Sometimes, if necessary, during the diagnosis of angioedema, skin allergological tests should be performed.
A patient who developed Quincke's edema,treatment is conducted to suppress allergic reaction. In each case of manifestation of this disease, one should always take into account the possibility of developing edema in the airways and subsequent death of a person due to suffocation. Therefore, when the patient develops a lesion of the pharynx and larynx, it is necessary to call an ambulance as soon as possible. A patient with an angioneurotic edema of the larynx or pharynx is hospitalized and further treatment is given in the intensive care unit or in the intensive care unit.
If there is a food reaction, the attending physician will necessarily recommend strict adherence hypoallergenicdiet. In the treatment of angioedema, both in children and adults, appointment of admission antihistamines. If there is a sensitivity to food, it can reduce reception enzyme preparations. eg, festala .
Quincke edema in children
Quincke's edema in children can sometimes develop up tovery large. At the same time, its migration takes place, that is, swelling manifests itself in one or another place. The edema to the touch is very dense and uniform, when you press it, the depression does not appear. Approximately half of the cases are combined with angioedema and hives. However, the most serious condition is the laryngeal edema. In this case, parents should pay attention to the following characteristic manifestations: initially the child becomes very difficult to breathe, the skin on the face acquires a blue color, a little later it suddenly turns pale. The duration of edema of the larynx of mild and moderate severity sometimes ranges from one hour to one day.
If there is a Quincke edema inthe gastrointestinal tract initially the child complains of the sensation of tingling of the palate, the tongue, after which diarrhea and vomiting occur. Also the child is disturbed by a sharp pain in the abdomen.
Even with the manifestation of the edema of Quincke exclusively on the skin, a child sometimes suffers from fever, pain in the joints, and strong excitement. Loss of consciousness is also possible.
The emergence of edema Quincke is possible and as a consequence of taking certain medications. First of all, swelling to provoke admission antibiotics. in particular penicillin. Unsafe for children prone to allergies, as well as drugs that relieve cramps, vitamins of group B. acetylsalicylic acid. drugsiodine. Also, a similar reaction can be caused by substances that are additives of some drugs.
Parents should also take into account the fact thatTo provoke the development of Quincke edema in a child can not only certain foods that the baby is allergic to, but also supplements contained in certain foods. This is a number of preservatives and colorings, which are often found in sausages, sausages, juices, cheese, etc. Exotic dishes, for example, from fish, also conceal the danger of provoking Quincke's edema.
In addition, unsafe for children prone to allergies, is the flowering of plants, as well as insect bites.
First aid for swelling of Quincke
If a child or an adult has a childEdema Quincke, first aid to the patient should be provided even before the arrival of doctors. Most important in this case, it is urgent to suspend contact with the allergen: for example, remove the insect sting, stop injecting the medication. If the edema develops as a result of a bite, a cold compress can be applied to the affected area. The person who developed swelling should drink plenty before the doctors arrive. Also effective in some cases will be sorbents - eg, Activated carbon. If the patient has difficulty breathing and a change in complexion due to the development of Quincke's edema, treatment of this condition is carried out by intramuscular injection prednisolone .
As measures aimed at preventionedema Quincke, people prone to allergic reactions, you must constantly follow a very strict diet. Allergens should be excluded not only from the diet, but also from the environment of the person. In the period of forced contact with substances that cause an allergic reaction (for example, at a time when plants bloom), one should take antihistamines .
Particular attention should be paid to preventive measuresTo draw to parents, whose children suffer from similar allergic reactions. To prevent sudden manifestations of Quincke's edema, one should not only prevent the child from contacting the allergens, but also take care of cleanliness in the home, often carry out wet cleaning, ventilate the room, monitor the level of humidity and temperature.
Children who are highly sensitive tobites insects, you should avoid walking without shoes on the street and wearing bright things that can attract insects. In addition, parents should take care of the kit kit, which must always have funds for first aid to the child when suddenly developing allergies.