Medical history (history of illness) represents an important component in the diagnosis of urtica (wheal, nettle).
Family history
- What is the general health of your relatives?
- Are there any diseases in your family that are common?
Social history
- What is your profession?
- Are you exposed to harmful working substances in your profession?
Current medical history/systemic medical history (somatic and psychological complaints).
- At what site do the wheals/urticaria appear?
- Only in one area?
- Distributed over the entire body?
- How long have you had the wheals/urticaria?
- Are the skin lesions painful? Or do they itch a lot?
- Was there a trigger known to you for the formation of the wheals/urticaria?
- Did the changes occur in connection with manipulations of the skin (cold/heat irritation, mechanical irritation)? Or are they related to food intake?
- Are there other symptoms such as fever, general feeling of illness, etc.?
Vegetative anamnesis incl. nutritional anamnesis.
Eigenanamnese incl. medication anamnesis
- Previous diseases (skin diseases, infections)
- Operations
- Radiotherapy
- Vaccination status
- Allergies
- Pregnancies
- Environmental history
- Medication history
Medication history
- ACE inhibitors (benazepril, captopril, cilazapril, enalapril, fosinopril, lisinopril, moexipril, peridopril, quinapril, ramipril, spirapril).
- Acetylsalicylic acid (ASA)
- Anesthetics
- Anthelmintics (praziquantel)
- Antibiotics such as penicillin
- Antivertiginosa (betahistine)
- Chelating agents (deferoxamine, deferasirox).
- Histamine liberators (e.g., X-ray contrast agents, muscle relaxants).
- Mucolytics (acetylcysteine (ACC); N-acetylcysteine (NAC); N-acetyl-L-cysteine).
- Monoclonal antibodies (nataliztumab).
- Muscle relaxants, unspecified
- Opiates or opioids (alfentanil, apomorphine, buprenorphine, codeine, dihydrocodeine, fentanyl, hydromorphone, loperamide, morphine, methadone, nalbuphine, naloxone, naltrexone, oxycodone, pentazocine, pethidine, piritramide, remifentanil, sufentanil, tapentadol, tilidine, tramadol).
