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Key words: Acute urticaria, chronic urticaria, autoimmune, skin rash, food allergies TABLE OF CONTENTS I. Executive summary II. Acute urticaria III. Diagnosis and management of chronic urticaria IV. Physical urticaria/angioedema V. Differential diagnosis VI. Treatment for acute and chronic urticaria CONTRIBUTORS
This publication provides practical advice on issues in everyday practice, such as the procedure in the current coronavirus disease 2019 (COVID-19) pandemic, the cardiac risk under higher dosed H1 antihistamines, the self-administration of omalizumab as well as vaccination under omalizumab therapy.
In chronic inducible urticaria (CIndU), hives only occur following a specific trigger such as stroking of the skin (dermographism), pressure, cold, or raising the core body temperature such as by exercise (cholinergic urticaria). The hives of CIndU are usually shorter lasting (less than an hour).
In this area, the newest version of the international urticaria guideline is more precise and comprehensive than previous versions. It emphasizes the importance of consistent and continued assessment of patients with CU for their disease activity, quality of life (QoL) impairment, and disease control.
8 sie 2022 · The recommendations for the use of first-line treatment (antihistamine), second-line treatment (omalizumab), and third-line treatment (cyclosporine) now include guidance on updosing and duration (Fig 3, A and B).
Guidelines for management of patients with urticaria (Figure 2,3)2,10-15 1.Treating the underlying causes: If the cause can be identified, eliminate the cause. For example, in drug-induced urticaria, discontinuation of the causative drug will resolve the hives. Avoid aggravating factors, such as consumption of alcoholic beverages. 2.
31 sie 2022 · Chronic urticaria is defined as wheals (hives), angioedema (swelling), or both that have been continuously or intermittently present for at least 6 weeks, 1,2 in contrast to acute urticaria,...
