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Allergological Patients in Primary Care

Allergological Patients in Primary Care


Berlin. Can one of the other a house or a living room in the field of the allergic disease itself heal and was it the skin of the skin? The Basics of Allergology in the home doctor’s speech were the theme at the Federal Education Congress for Allgemeinmedizin (BAM) in June in Berlin.

For many cases in the primary care of allergology, one of the last experiences, and the referral and the all-round medicine of Dr. Katja Köhler from Schmallenberg. Although this is a useful treatment solution in home practice, the relevant allergological knowledge is not so important: Angefangen bij de Übelkeit and Erbrechen nach Pilzverzehr, über plötzlich auftretenden Hautausschlag, bis zu Schwindelgefühl after a Wespenstich.

Kein Gesamt-IgE without specific IgE

Most relevant primary allergies are for type I: Heuschnupfen, Urticaria, Insect venom allergy, allergic Asthma. If this allergic type occurs, it is due to the internal short-term period that allows a release of immunoglobulin-E-antibodies (IgE). This storage of your Soul Cells – basophilic granulocytes and mast cells – and effect an enormous release of enzymatic mediators, here for all Histamin, the clinical symptoms disappear.

A suitable anamnesis is often a discarded and sollte in the home practice that is performed, appealed Köhler. I think there is an allergic reaction to the treatment that IgE could undergo. If it is good, if it is not so that the specific IgE is performed with best stimulation, concrete charcoal and a liquid are added, if the specific IgE is of clinical relevance, if this amounts to 1% of the average IgE value. Preliminary setting for a breach-proof IgE investigation must be a for her passed on Haut- or Provocation test.

Allergy vs Intolerance

Comments on reactions to treatment can cause an allergic reaction and an allergic reaction. Two relevant analysis markers lead to differentiation: To find themselves in a food allergy for all empathy in the IgE diagnostics, where this is in a food intolerance white. Other people are allergic to enzyme defect, in intolerance and cleansing. If there is lactose intolerance, the absorption of sorbitol or the absorption of sorbitol can not occur.

While the allergic reactions to the allergy in the household care are possible: a lactose/fruit test, the diet of a food remedy protocol, a study on calprotectin and pathogenic disease and an allergenic diet.