PDF(Pubmed)
Abstract：
Chronic spontaneous urticaria presents with wheals and/or angioedema for >6 weeks without any specific triggers. The incidence of chronic spontaneous urticaria is increased in patients with comorbid autoimmune conditions. Here, we present a case of chronic spontaneous urticaria in a 9-year-old with type 1 diabetes and autoimmune thyroid disease who first presented with insulin pump site reactions concerning an insulin-related allergy. The patient was successfully treated with antihistamines and later immunosuppression with resumption of insulin pump therapy and remission of chronic spontaneous urticaria symptoms 18 months after onset.
摘要：
慢性自发性荨麻疹表现为风团和/或血管性水肿>6周，没有任何特定的触发因素。在合并自身免疫性疾病的患者中，慢性自发性荨麻疹的发病率增加。这里,我们介绍了一例9岁的1型糖尿病合并自身免疫性甲状腺疾病患者的慢性自发性荨麻疹病例,该患者首次出现与胰岛素相关过敏相关的胰岛素泵部位反应.患者在发病18个月后恢复胰岛素泵治疗并缓解慢性自发性荨麻疹症状，成功接受抗组胺药治疗并随后进行免疫抑制治疗。
