Allergy differential diagnosis: Difference between revisions
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{{CMG}}; {{AE}} {{MMT}} | {{CMG}}; {{AE}} {{MMT}} | ||
==Overview== | ==Overview== | ||
[[Allergy]] must be differentiated from other diseases that cause Dermatological([[Urticaria]], [[pruritus]], [[flushing]]), Respiratory ([[Rhinorrhea]],[[chest tightness]],[[Wheezing]] [[Sneezing]], [[Shortness of breath]]) Mucosal ([[Mucosal swelling affecting [[nose]], [[lips]], [[tongue]], [[larynx]], [[pharynx]], [[conjunctiva]], [[GIT]] )[[Periorbital edema]], [[Conjunctival Congesion]], | [[Allergy]] must be differentiated from other diseases that cause Dermatological ([[Urticaria]], [[pruritus]], [[flushing]], [[Angioedema]]), Respiratory ([[Rhinorrhea]],[[chest tightness]],[[Wheezing]], [[Dyspnoea]], [[Sneezing]], [[Shortness of breath]]) Mucosal ([[Mucosal]] swelling affecting [[nose]], [[lips]], [[tongue]], [[larynx]], [[pharynx]], [[conjunctiva]], [[GIT]]) Ocular ([[Periorbital edema]], [[Conjunctival Congesion]], [[Itching]]), Systemic ([[Hypotension]]). [[Allergy]] can be differentiated according to the type of allergy. | ||
==Differentiating [ | ==Differentiating [[allergy] from other Diseases== | ||
[[Allergy]] must be differentiated from other diseases that cause [[Urticaria]], [[Rhinorrhea]],[[ | [[Allergy]] must be differentiated from other diseases that cause Dermatological ([[Urticaria]], [[pruritus]], [[flushing]], [[Angioedema]]), Respiratory ([[Rhinorrhea]],[[chest tightness]],[[Wheezing]], [[Dyspnoea]], [[Sneezing]], [[Shortness of breath]]) Mucosal ([[Mucosal]] swelling affecting [[nose]], [[lips]], [[tongue]], [[larynx]], [[pharynx]], [[conjunctiva]], [[GIT]]) Ocular ([[Periorbital edema]], [[Conjunctival Congesion]], [[Itching]]), Systemic ([[Hypotension]]). [[Allergy]] can be differentiated according to the types of allergy. | ||
===Differentiating [[Allergy]] from other diseases on the basis of [[ | ===Differentiating [[Allergy]] from other diseases on the basis of Dermatological, Respiratory, Mucosal, Ocular, Systemic Manifestations=== | ||
On the basis Dermatological, Respiratory, Mucosal, Ocular, Systemic Manifestations, [[Allergy]] must be differentiated according to the types of allergy. | |||
*Food Allergy is differentiated from enzyme deficiencies like lactose intolerance, fructose intolerance, Celiac Disease, Toxic reactions, Irritable bowel syndrome, Tyramine or caffeine toxicity, Gustatory Rhinitis. | |||
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! rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;|Histopathology | ! rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;|Histopathology | ||
|- | |- | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;| | ! style="background: #4479BA; color: #FFFFFF; text-align: center;|Abdominal Pain | ||
! colspan="1" rowspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;| | ! colspan="1" rowspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;|Diarrhea | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;| | ! style="background: #4479BA; color: #FFFFFF; text-align: center;|Dysphagia | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;|Physical exam | ! style="background: #4479BA; color: #FFFFFF; text-align: center;|Bloating/Flatulence | ||
! colspan="1" rowspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;|Physical exam | ! style="background: #4479BA; color: #FFFFFF; text-align: center;|Regurgitation/Reflux | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;|Physical | ! style="background: #4479BA; color: #FFFFFF; text-align: center;|Urticaria/Oral Ulcer | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;|Dyspnea | |||
! style="background: #4479BA; color: #FFFFFF; text-align: center;|Pruritus/Flushing | |||
! style="background: #4479BA; color: #FFFFFF; text-align: center;|Physical exam(GI) | |||
! colspan="1" rowspan="1" style="background: #4479BA; color: #FFFFFF; text-align: center;|Physical exam (Dermatological) | |||
! style="background: #4479BA; color: #FFFFFF; text-align: center;|Physical (Respiratory) | |||
! style="background: #4479BA; color: #FFFFFF; text-align: center;|Physical (Mucosal) | |||
! style="background: #4479BA; color: #FFFFFF; text-align: center;|Physical (Ocular) | |||
! style="background: #4479BA; color: #FFFFFF; text-align: center;|Physical (Systemic and Other) | |||
! style="background: #4479BA; color: #FFFFFF; text-align: center;|Lab 1 | ! style="background: #4479BA; color: #FFFFFF; text-align: center;|Lab 1 | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;|Lab 2 | ! style="background: #4479BA; color: #FFFFFF; text-align: center;|Lab 2 | ||
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! style="background: #4479BA; color: #FFFFFF; text-align: center;|Imaging 3 | ! style="background: #4479BA; color: #FFFFFF; text-align: center;|Imaging 3 | ||
|- | |- | ||
| style="background: #DCDCDC; padding: 5px; text-align: center;" | | | style="background: #DCDCDC; padding: 5px; text-align: center;" |Enzyme deficiencies | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
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|- | |- | ||
| style="background: #DCDCDC; padding: 5px; text-align: center;" | | | style="background: #DCDCDC; padding: 5px; text-align: center;" |Celiac Disease | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
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| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
|- | |- | ||
| style="background: #DCDCDC; padding: 5px; text-align: center;" | | | style="background: #DCDCDC; padding: 5px; text-align: center;" |Toxic reactions | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
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!Additional findings | !Additional findings | ||
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| style="background: #DCDCDC; padding: 5px; text-align: center;" | | | style="background: #DCDCDC; padding: 5px; text-align: center;" |Irritable bowel syndrome | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
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|- | |- | ||
| style="background: #DCDCDC; padding: 5px; text-align: center;" | | | style="background: #DCDCDC; padding: 5px; text-align: center;" |Tyramine or caffeine toxicity | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
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|- | |- | ||
| style="background: #DCDCDC; padding: 5px; text-align: center;" | | | style="background: #DCDCDC; padding: 5px; text-align: center;" |Gustatory Rhinitis | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | | ||
| style="background: #F5F5F5; padding: 5px;" | | | style="background: #F5F5F5; padding: 5px;" | |
Revision as of 17:25, 20 April 2021
__
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Marufa Marium, M.B.B.S[2]
Overview
Allergy must be differentiated from other diseases that cause Dermatological (Urticaria, pruritus, flushing, Angioedema), Respiratory (Rhinorrhea,chest tightness,Wheezing, Dyspnoea, Sneezing, Shortness of breath) Mucosal (Mucosal swelling affecting nose, lips, tongue, larynx, pharynx, conjunctiva, GIT) Ocular (Periorbital edema, Conjunctival Congesion, Itching), Systemic (Hypotension). Allergy can be differentiated according to the type of allergy.
Differentiating [[allergy] from other Diseases
Allergy must be differentiated from other diseases that cause Dermatological (Urticaria, pruritus, flushing, Angioedema), Respiratory (Rhinorrhea,chest tightness,Wheezing, Dyspnoea, Sneezing, Shortness of breath) Mucosal (Mucosal swelling affecting nose, lips, tongue, larynx, pharynx, conjunctiva, GIT) Ocular (Periorbital edema, Conjunctival Congesion, Itching), Systemic (Hypotension). Allergy can be differentiated according to the types of allergy.
Differentiating Allergy from other diseases on the basis of Dermatological, Respiratory, Mucosal, Ocular, Systemic Manifestations
On the basis Dermatological, Respiratory, Mucosal, Ocular, Systemic Manifestations, Allergy must be differentiated according to the types of allergy.
- Food Allergy is differentiated from enzyme deficiencies like lactose intolerance, fructose intolerance, Celiac Disease, Toxic reactions, Irritable bowel syndrome, Tyramine or caffeine toxicity, Gustatory Rhinitis.
Diseases | Clinical manifestations | Para-clinical findings | Gold standard | Additional findings | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Symptoms | Physical examination | ||||||||||||||||||
Lab Findings | Imaging | Histopathology | |||||||||||||||||
Abdominal Pain | Diarrhea | Dysphagia | Bloating/Flatulence | Regurgitation/Reflux | Urticaria/Oral Ulcer | Dyspnea | Pruritus/Flushing | Physical exam(GI) | Physical exam (Dermatological) | Physical (Respiratory) | Physical (Mucosal) | Physical (Ocular) | Physical (Systemic and Other) | Lab 1 | Lab 2 | Lab 3 | Imaging 1 | Imaging 2 | Imaging 3 |
Enzyme deficiencies | |||||||||||||||||||
Celiac Disease | |||||||||||||||||||
Toxic reactions | |||||||||||||||||||
Diseases | Symptom 1 | Symptom 2 | Symptom 3 | Physical exam 1 | Physical exam 2 | Physical exam 3 | Lab 1 | Lab 2 | Lab 3 | Imaging 1 | Imaging 2 | Imaging 3 | Histopathology | Gold standard | Additional findings | ||||
Irritable bowel syndrome | |||||||||||||||||||
Tyramine or caffeine toxicity | |||||||||||||||||||
Gustatory Rhinitis |
References
Allergy Microchapters |
Diagnosis |
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Treatment |
Case Studies |
Allergy differential diagnosis On the Web |
American Roentgen Ray Society Images of Allergy differential diagnosis |
Risk calculators and risk factors for Allergy differential diagnosis |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [3]