14.1皮肤性病·Urticaria.docVIP

重庆医科大学临床学院教案及讲稿 课程名称 皮肤性病学 年级 2010级留学生 授课专业 皮肤性病学 教 师 单葵 职称 副教授 授课方式 大课 学时 1 题目章节 《urticaria》 教材名称 《Dermatovenereology》 作者 Liu Tong 出 版 社 Dean’s office of Xi’an Jiaotong University November 2004 版次 First 教 学 目 的 要 求 The definition of urticaria. The etiology and pathogenesis of urticaria. The clinical manifestations of urticaria . The treatment of urticaria. 教 学 难 点 1. The etiology and pathogenesis of urticaria. 2. The clinical manifestations of urticaria. 3. The treatment of urticaria. 教 学 重 点 The definition of urticaria. The clinical manifestations and some special sorts of urticaria. The treatment of urticaria, especially how to deal with shock or laryngeal edema or dyspnea. 外语要求 教学方法手段 大课讲述、多媒体、彩色图谱、临床病例 参考资料 《临床皮肤病学》赵辨等主编，2001年江苏科学技术出版社 《Anderws Diseases of skin》（第九版英文影印版）Richard.B.O等主编，科学出版社 《中国临床皮肤病学》（第1版）赵辨等主编，2010年，江苏科学技术出版社 教研室意见 年 月 日 教学内容 辅助手段 时间分配 Urticaria Definition Urticaria is a very common disease and is a vascular reaction of the skin characterized by the appearance of wheals, white or red evanescent plaques generally surrounded by a red halo or flare and associated with severe itching, stinging, or pricking sensations. (picture1) Etiology 1. Food The most allergenic foods are shellfish, shrimps, crab, chocolate, nuts, peanuts, tomatoes, strawberries, melons, pork, cheese, garlic, onions, and spices. Eggs and milk always induce urticaria in children. 2. Medicines Many medicines can start urticaria by allergy, the most common drugs are as follows: penicillin, serum, vaccine, furazolidone, sulfanilamide and so on . Sometimes a few drugs can directly stimulate mast cells to produce histamine, like aspirin, morphine, codeine, quinine, etc. 3.Infections Infections caused by all organisms are another possible reasons to induce urticaria. The most common organism is virus of upper respiratory and staphylococcus aureus. Chronic infections of the patients canno