Diagnostic Tests in The Management of Allergic Diseases in Primary Care

Allergic diseases are a major cause of morbidity worldwide and cause a significant burden on the health and medical systems of both developed and developing economies. Most of the patients who want to get medical advice for allergic diseases firstly apply to the primary care. Most patients with allergies can be managed in primary care with appropriate treatment, advice and prevention, without the need for identification of the causative allergen. In the diagnosis of allergic diseases, first of all, a good medical history should be taken and physical examination should be performed. Allergy testing may be required if the patient's symptoms do not settle through medical treatment, or if the determination of the allergen will benefit the treatment of the patient. Alerjik hastalıklar dünya çapında önemli bir morbidite nedenidir ve hem gelişmiş hem de gelişmekte olan ekonomilerin sağlık ve tıbbi sistemlerine önemli bir yük oluşturmaktadır. Alerjik hastalıklar için tıbbi tavsiye almak isteyen hastaların çoğunluğu öncelikle birinci basamağa başvurmaktadır. Alerjisi olan çoğu hasta, uygun tedavi, tavsiye ve korunma yöntemleriyle, etken alerjenin tanımlanmasına gerek kalmaksızın, birinci basamakta yönetilebilir. Alerjik hastalıkların yönetiminde öncelikle iyi bir öykü alınmalı ve fizik muayene yapılmalıdır. Eğer, medikal tedavi ile hastanın semptomları geçmezse veya alerjenin saptanmasının hastanın tedavisine fayda sağlayacağı düşünülürse, alerji testleri yapılması gerekebilir.

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