Demographic and clinical profiles in patients with acute urticaria

Sánchez‐Borges, Mario; Capriles‐Hulett, Arnaldo; Caballero‐Fonseca, Fernan

doi:10.1016/j.aller.2014.04.010

Cited by 18 publications

(18 citation statements)

References 37 publications

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“…In a retrospective study in Latin–American children (6.14 ± 5.1 years) with acute urticaria attending allergy clinics, the SPT for pollens was negative [26]. …”

Section: Discussionmentioning

confidence: 99%

Anaphylaxis in a 4-year-old male caused by contact with grasses: a case report

Ramón

Croce

Chérrez-Ojeda

2017

World Allergy Organization Journal

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BackgroundAcute urticaria is the presence of urticaria for <6 weeks, and it is the most common type of urticaria in children. Sometimes, it may be associated with anaphylaxis, a life-threatening condition. Urticaria must be differentiated from anaphylaxis because the latter may require emergency treatment. We describe a child with anaphylaxis exposed to grasses on two occasions.Case presentationWe described a 4-year-old male child with anaphylaxis exposed to grasses. Patient also suffered mild neurologic/respiratory symptoms but it is unlikely that he had anaphylaxis. Skin-prick tests were positive to Cynodon dactylis, Phalaris arundinacea and Festuca elatior. Little is known about the importance of pollens as a cause of urticaria in young children.ConclusionsThe case reported here is particularly interesting because, to the best of our knowledge, anaphylaxis due to pollen exposure in children aged <4 years has not been reported before. We strongly encourage all physicians searching for the cause of acute urticaria (allergists, dermatologists, primary-care physicians) to consider the possibility of pollen allergy, and to screen these patients for pollen sensitization.

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“…In a retrospective study in Latin–American children (6.14 ± 5.1 years) with acute urticaria attending allergy clinics, the SPT for pollens was negative [26]. …”

Section: Discussionmentioning

confidence: 99%

Anaphylaxis in a 4-year-old male caused by contact with grasses: a case report

Ramón

Croce

Chérrez-Ojeda

2017

World Allergy Organization Journal

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“…Akutna urtikarija je češća kod mlađe dece sa atopijom, ali i sa porodičnom anamnezom za alergijske bolesti (2). U našoj grupi ispitanika je zabeležena učestalost prethodnih alergijskih manifestacija od 11%, dok se u literaturi navodi učestalost od 4,2%, koja se odnosi samo na atopijski dermatitis među decom sa akutnom urtikarijom (10).…”

Section: Diskusijaunclassified

Evaluation of etiological factors and clinical parameters of acute urticaria in children treated at Pediatric Internal Diseases Clinic, Clinical Center Niš

Aleksić¹,

Aleksić²,

Stojanović³

et al. 2019

Medicinski podmladak

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Introduction: Urticaria is a disease of polyetiological origin characterized by skin manifestations (wheals, angioedema or both) and it is frequently seen in childhood. Based on its duration, urticaria can be classified into acute and chronic; and based on causative agents urticaria is divided to spontaneous and inducible. The etiological trigger factors of acute urticaria include infections, medications and food. Aim: Evaluation of etiological factors and clinical parameters of acute urticaria in childhood. Material and methods: We performed a retrospective analysis of medical documentation which included 65 patients with acute urticaria who were treated at the Pediatric Internal Diseases Clinic, Clinical Center Niš, during the period from January 2015 to December 2016. Results: In all subjects, regardless of age, infection was the most frequent factor (42.7%) that preceded the urticaria, while in 13.4% of children infection was associated with the use of medications. In children under 3 years of age, food was the most frequent trigger factor (23.5%), while in older children (above the age of 3) more frequent trigger factor which preceded the acute urticaria was the use of medication during the infection. Among the investigated patients, 63.1% of them had clinical manifestation of urticaria, 20% had angioedema, while 16.9% of patients had urticaria and angioedema at the same time. The evaluation of the laboratory parameters showed high incidence of neutrophilia (40.6%) and increased CRP values (32.5%). Conclusion: The most common trigger factors which caused acute urticaria in childhood were the upper respiratory tract infections. A high incidence of medications was detected in the group of children older than three years, while in children younger than 3 years, food was detected as the most frequent potential cause. Neutrophilia and increased CRP values were laboratory parameters associated with infections.

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“…Cases of acute urticaria have a benign course with most patients being managed with conventional treatments [8]. Studies concerning duration of chronic spontaneous urticaria have yielded varying results.…”

Section: Prognosismentioning

confidence: 99%

“…An increased prevalence of concomitant allergic diseases including rhinitis, asthma and atopic dermatitis is observed in cases of acute urticaria [8].…”

Section: Associated Diseasesmentioning

confidence: 99%

“…In majority of cases of acute urticaria, history taking and physical examination is sufficient for the diagnosis. Further investigations are generally not required in patients with acute urticaria except those with a clinical history or physical examination suggesting an underlying cause, such as upper respiratory tract infection, food-or drug-induced urticaria [8]. Skin prick tests and serumspecific IgE tests can be used to confirm allergic reaction to foods, latex and certain antibiotics [5].…”

Section: Diagnosismentioning

confidence: 99%

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Urticaria and Angioedema

Engın¹,

Oba²,

Serdaroğlu³

2017

A Comprehensive Review of Urticaria and Angioedema

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Urticaria is a common mast cell-mediated dermatosis presenting with pruritic erythematous superficial plaques also known as hives or wheals. Angioedema is an acute condition manifesting as localized edema affecting the skin and mucous membranes. In contrast with urticaria, itching is often absent, the skin appears normal and the edema occurs in deeper dermal and subcutaneous tissues in angioedema. Spontaneous urticaria can either be acute lasting less than 6 weeks or chronic with a duration of more than 6 weeks. In acute urticaria cases, an underlying cause, mostly medications, foods and infections, may be found in approximately 50% of patients. However, spontaneous urticaria is generally idiopathic. First-line treatment option for both acute and chronic urticaria is non-sedating H 1 antihistamines. Patients with recalcitrant disease are candidates for therapy with corticosteroids, immunosuppressives or omalizumab treatment. There are two different mechanisms causing angioedema. The first is mast cell mediated and is considered to be part of the spectrum of spontaneous or inducible urticarias. Patients present with angioedema alone or angioedema combined with urticaria. The second is bradykinin-induced angioedema, as observed in the hereditary angioedema and angiotensin-converting enzyme (ACE) inhibitor-induced angioedema.

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Demographic and clinical profiles in patients with acute urticaria

Cited by 18 publications

References 37 publications

Anaphylaxis in a 4-year-old male caused by contact with grasses: a case report

Anaphylaxis in a 4-year-old male caused by contact with grasses: a case report

Evaluation of etiological factors and clinical parameters of acute urticaria in children treated at Pediatric Internal Diseases Clinic, Clinical Center Niš

Urticaria and Angioedema

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