Hives: The Road to Diagnosis and Treatment of Urticaria

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9780972794800: Hives: The Road to Diagnosis and Treatment of Urticaria
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It is estimated that one out of five persons in the United States experiences at least one episode of hives in their lifetime. That is approximately sixty million people in the U.S., almost twice the population of California. Even if the actual number is over-estimated by fifty percent because of inaccurate diagnosis, thirty million remains an impressive number. Approximately five to ten percent of these patients may experience symptoms from six weeks up to two years or longer. This suggests that 1.5 to 3 million individuals in the U.S experience chronic hives.

There is a paucity of materials to assist health care professionals (HCP) and patients on these conditions.There is in fact no existing publication, past or present, that provides the practical approach discussed in this book for the evaluation and treatment of these conditions. The book will appeal to patients who are desirous of a self-help approach and to HCPs who need time-saving guidance to organize and standardize the evaluation of these conditions.

Many of the common questions that are asked by patients are answered in this book. It is our experience that addressing the following questions allays anxiety that patients experience and will improve their understanding as to why their symptoms are sometimes not diagnosed or brought under control.
·What are urticaria and angioedema?
·Why is it difficult to find the cause of urticaria and/or angioedema?
·Is there a common mechanism that causes urticaria and/or angioedema?
·Why do urticaria and/or angioedema remain only for a short time in some individuals, while other patients experience symptoms for longer periods, sometimes months or years?
·Can the duration of symptoms be predicted for chronic urticaria and/or angioedema?
·Why aren’t antihistamines completely effective in treating urticaria and/or angioedema?
·How can you determine whether a food, food additives, dyes, preservatives, or undetected allergens are causing urticaria and/or angioedema?
·Do psychological factors play a role in causing urticaria and/or angioedema?

This book is very different than existing medical textbooks as it distills the information from a variety of scientific sources to a level that is understandable for patients and for health care professionals, who may not be familiar with these complex conditions.

This book provides time saving tools to gather information efficiently from patients. Key sections may be reproduced for use with multiple patients. The book organizes and standardizes the evaluation and treatment process and encourages a cooperative approach between HCPs and patients that improves outcomes. It can be used by:

·Health care professionals (HCPs) who can advise their patients to complete a workbook section. Based upon the workbook information, the HCPs can utilize a numeric algorithm to guide them to discussion(s) of possible diagnostic possibilities, laboratory test considerations and treatment recommendations. ·Patients, who believe they have hives or swelling, can complete the workbook section. This is shared with the health care professional, who can use the information to consider diagnostic possibilities, laboratory considerations and treatment recommendations.

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From the Author:

A primary purpose of this book is to improve the evaluation and treatment of hives and swelling with an approach that encourages collaboration between patients and health care professionals. An equally important objective is to empower patients with knowledge and understanding regarding the diagnosis and treatment of these conditions.

About the Author:

Alan A. Wanderer, M.D. is a graduate of Columbia College of Physicians and Surgeons. His medical training included an internal medicine internship at Bellevue Hospital-Columbia Internal Medical Division, pediatric residency at Cornell Medical School and fellowship in allergy, asthma, and clinical immunology at National Jewish Center, Denver, Colorado. He is board certified by the American Board of Allergy and Immunology and is an active member of the American Academy of Allergy, Asthma and Immunology and the American College of Allergy, Asthma and Immunology. He taught on the faculty of National Jewish Center and is currently a Clinical Professor of Pediatrics and Allergy at the University of Colorado Health Sciences Center. Dr. Wanderer has authored over fifty articles on allergy-clinical immunology subjects, particularly on the subject of urticaria (hives) including chapters in medical textbooks. He is an active lecturer on a variety of allergy/immunology related subjects at medical meetings and university medical schools. Much of his research has concentrated on the mechanisms and therapy of a reproducible type of hives induced by cold, namely acquired cold urticaria. His collaboration with Dr. Hal Hoffman has led to the identification of the gene that is responsible for an inherited cold sensitivity disorder called familial cold auto-inflammatory syndrome. On-going research indicates that the identified gene is involved in important innate immune responses. He was lead author of recently published practice parameter guidelines for the diagnosis and treatment of urticaria and angioedema that was sponsored by the Joint Task Force of the American Academy of Allergy, Asthma and Immunology and the American College of Allergy, Asthma and Immunology. His expertise in these medical conditions is recognized nationally and internationally.

Dr. Wanderer is a partner of Allergy and Asthma Consultants of the Rockies, an allergy, asthma and clinical immunology practice located in Denver, Colorado and Bozeman, Montana. He is available for consultations involving hives, nasal-sinus symptoms, food reactions, bee sting and drug reactions, and asthma.

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