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DOI: 10.1055/s-0031-1280172
© Enke Verlag in MVS Medizinverlage Stuttgart GmbH & Co. KG
Pruritus – Nicht immer ist es ein Sommerekzem
Teil 2: Pathomechanismen, Diagnostik und DifferenzialdiagnosenPruritus – not always a “summer eczema”Publication History
Publication Date:
29 September 2011 (online)
Summary
Pruritus is not a disease but a physiological protective alarm system which might react in a pathological destructive fashion, depending on the triggering cause. A frequently suspected reason is an allergic disease termed “summer eczema”, “sweet itch”, or “insect bite hypersensitivity”. However, there are numerous alternatives provoking similar clinical symptoms. Additional problems for proper diagnosis and appropriate therapy cause “mixed” forms of diseases: On one hand different causes might occur simultaneously and on the other hand one cause might act via different pathomechanisms. This paper comprises two parts: Part 1: Definition and clinical forms of “summer eczema” (pferde.spiegel 2/2011) and now Part 2: Pathomechanisms of “summer eczema” including relevant diagnostics plus a table with most of the relevant alternative causes for pruritus and/or “sweet itch”-like symptoms.
Key words
allergy - summer eczema - dermatitis - diagnostics - differential diagnoses