alergi nafas dr.iwang

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    Alergipada

    saluran nafas

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    Conjunctivitis

    Rhinitis

    Urticaria

    Asthma

    Gastroenteritis

    Clinical

    manifestations

    oftype I

    hypersensitivity

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    sensitization

    immediate reaction

    late reaction

    Th2

    IgE

    mestcel

    eosinofiel

    IL-4

    B

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    Figure 1.(click image to zoom) Biosynthesis of arachionic aci an the

    cycloo!ygenase (C"#) path$ay% &' * hyropero!yeicosatetraenoic aci+

    ,-AI.s * nonsteroial anti/inflammatory rugs%

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    -tep/$ise iagnosis of allergy

    Allergy 0Anamnesis

    'hysical

    e!amination

    'ro1a1le

    allergy

    'ossi1leallergy

    -elective

    measurementof specific Ig

    in 1loo

    Allergen panel

    in skin testing

    or

    2ulti/allergen

    screening test

    -earch for

    other causes

    -ymptomatic

    therapyAllergen

    avoiance

    Immunotherapy

    negative

    positive

    Plebani, 2003