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Itching with an allergy to insulin can be of varying severity - from subtle to pronounced, unbearable, because of which the patient does not stop itching at the injection site, irritating the nerve endings and further exacerbating the discomfort.
Often, itchy sensations spread to areas of the skin that are adjacent to the site of insulin injection. With a local form of allergy to insulin, there are no full-fledged pains as such - most likely, pain on the verge of discomfort appears.
Compaction at the injection site of the drug occurs due to infiltration (impregnation) of tissues with immune complexes, as well as if the drug was injected at any location that is not provided for by the instructions for administering insulin.
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When clarifying the details of the anamnesis, it is necessary to find out the following:
- how long the patient is injected with insulin; what types of insulin were previously used, the reaction to them was also noted, whether an incomprehensible deterioration in well-being was observed; what stopped such a reaction; whether the use of the same type of insulin continued after it, what was the reaction of the body.
- Of the instrumental research methods in the diagnosis of insulin allergy, the following are used: examination of the skin with a magnifying glass. Not only areas involved in the pathological process are examined, but also more extensive ones; examination of the skin with a Wood's lamp.
- With the help of ultraviolet radiation, the boundary between the affected and healthy skin is determined. The method is used for the differential diagnosis of insulin allergy with some dermatological diseases; biopsy - the collection of tissue fragments with their subsequent study under a microscope. It is carried out in the light of increased oncological alertness, since the infiltrate that develops at the site of insulin injection can exist for a long time, thereby causing suspicion of a neoplasm.
- Laboratory methods used in diagnosing insulin allergy include tests such as: Allergological tests are important in the diagnosis of the described disease, during which different types of insulin are applied / administered to the patient on the skin, intradermally or subcutaneously, after which the body's response is assessed. As a rule, these are local manifestations, but respiratory disorders can also be detected.
- As a rule, it is observed with the introduction of insulin in the same place for a long time; abscess - limited abscess (is a complication of the Arthus phenomenon); fistula - a pathological course with purulent discharge.
- It is the result of abscess formation that arose against the background of the Arthus phenomenon; anaphylactic shock is a pronounced allergic reaction, the most characteristic manifestations of which are severe swelling, rash, bronchospasm and which can lead to death; infectious complications - develop when pathogenic microflora penetrates through damage to the skin, which are formed due to scratching against the background of itching.
What dwhat to eat if you are allergic to insulin? Insulin is an important drug in the treatment of Isotretinoin pills with diabetes mellitus. Therefore, the decision to replace it is approached carefully. Treatment is not required in case of unexpressed, quickly transient local reactions in the form of redness, itching and rash, disappearing in the time interval from 1 minute to 1 hour. With severe allergic manifestations, the appointments are as follows:
desensitizing agents; glucocorticosteroid drugs - they are used for the purpose of desensitization (reducing the body's sensitivity), if non-hormonal agents are ineffective or show low efficiency; injection of insulin in different parts of the body; if the described appointments are characterized by low efficiency, then insulin can be administered in the same syringe with glucocorticosteroids; in the absence of the desired effect from these measures - the use of purified human insulin; Allergy-specific immunotherapy is practiced to develop the body's tolerance to insulin. The patient is given doses of insulin for a certain time, starting with a small amount and bringing it up to a therapeutic dose.