Hives, Nettle Rash, Urticaria: Test and Diagnosis

2nd order laboratory parameters – depending on the results of the history, physical examination, and obligatory laboratory parameters – for differential diagnostic clarification.

  • Small blood count
  • Differential blood count
  • Inflammatory parameter – CRP (C-reactive protein)
  • Liver parameters – alanine aminotransferase (ALT, GPT), aspartate aminotransferase (AST, GOT), glutamate dehydrogenase (GLDH) and gamma-glutamyl transferase (gamma-GT, GGT), alkaline phosphatase, bilirubin.
  • Total IgE; allergen-specific IgE (RAST).
  • Allergological testing
    • Epicutaneous test (synonyms: patch test, patch test) – in this test, a patch is applied to the patient’s skin containing various allergens; after two to three days, the patch can be removed and the test assessed
  • Physical testing
  • Provocation testing
  • Histamine, tryptase, eosinophil cationic protein (ECP).
  • Infectious serology
  • Helicobacter pylori serology
  • Hepatitis B-/C-Serology
  • Stool examination for pathogenic germs, parasites, worm eggs.
  • Antinuclear antibodies (ANA) – for suspected systemic lupus erythematosus (SLE).
  • Skin biopsy