Management of chronic urticaria in children: a clinical guideline

Abstract

The aim of this guidance is to provide recommendations to clinicians and other interested parties on chronic urticaria in children. The Italian Society for Pediatrics (SIP), the Italian Society for Allergy and Immunology (SIAIP), the Italian Society for Pediatric dermatology (SIDerP) convened a multidisciplinary panel that prepared clinical guidelines for diagnosis and management of chronic urticaria in childhood. Key questions on epidemiology, natural history, diagnosis, and management were developed. The literature was systematically searched and evaluated, recommendations were rated and algorithms for diagnosis and treatment were developed. The recommendations focus on identification of diseases and comorbidities, strategies to recognize triggering factors, improvement of treatment by individualized care.

Evaluation of intestinal parasites in patients with chronic spontaneous urticaria in a territory hospital in Turkey

“…Several studies indicate that CU has a significant impact on patient's psychological state. Especially in pediatric patients with CU, itching and aesthetic aspect may cause anxiety and depression [13]. CU also causes economic burden because of long lasting therapies.…”

Predicting inadequate treatment response in children with chronic spontaneous urticaria

“…16-27, moderate; and 28-42, severe). 6,14,19 Urticaria control test, a simple four-item instrument, is used to determine patients' disease status. Each question is ranked from 0 to 4 on the basis of severity, with a total possible score of 16.…”

“…Some instruments, including urticaria activity score (UAS), urticaria control test (UCT), and CU quality of life (CU-QOL) score, have been validated for the measurement of severity, disease control, and QOL in CU. 6,14,15 Although UAS7 has been validated for CU patients of all ages 4,16 , UCT has only been validated in adults. 17,18 In children, only a few studies have investigated the factors associated with disease control status.…”

Hypersensitivity Reactions: An Everyday Occurrence in Pediatric Allergy Clinics

“…Cutting across a huge swath of mast cell hyperreactivity situations with or without clear-cut immunological contributions, chronic urticaria is a common pediatric condition (Table 13). 43,44 Diverting from the previous tabular form of hypersensitivity explanation(s) the potential explanations are listed below in a more general fashion, although the etiologies are in agreement with recent reviews (Table 13). [43][44][45] Pediatric chronic hives remains enigmatic.…”