Allergy is not the main trigger of urticaria in children referred to the emergency room

Ricci, Giampaolo; Giannetti, Arianna; Belotti, Tamara; Dondi, Arianna; Bendandi, Barbara; Cipriani, Francesca; Masi, Massimo

doi:10.1111/j.1468-3083.2010.03634.x

Cited by 45 publications

(37 citation statements)

References 6 publications

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“…The most common etiologic factors in children with acute urticaria include acute infections, food, insect bites, and parasitic infections, respectively (11,14,(17)(18)(19). In our study, the triggering factors we found were similar to those in many studies in the literature.…”

Section: Discussionsupporting

confidence: 87%

“…Similarly, the rate of oral corticosteroid use was reported as 20% by Ricci et al (14), the rate of intravenous corticosteroid use was reported as 27%, and oral corticosteroid use was reported as 18.9% by Liu et al (11). Lee et al (28) reported treatment unresponsiveness with normal dose H1-AH in 50% of patients in their study of 98 children with chronic urticaria.…”

Section: Discussionmentioning

confidence: 91%

“…Acute urticaria was observed more fre- Acute urticaria Chronic urticaria 0-3 4-6 7-9 10-12 13-15 [16][17][18] Age quently in children aged below ten years and chronic urticaria was observed more frequently in children aged 10 years and older. In the literature, the age range is 3-8 years for acute urticaria and 8.8-10.4 years for chronic urticaria in childhood (10,11,(13)(14)(15). The main reasons for the age difference between the two diseases may include triggering of acute urticaria, mostly by external factors; a shorter time period required for occurrence of symptoms in acute urticaria; development of chronic urticaria over a longer time period; and presence of autoimmune mechanisms in chronic urticaria.…”

Section: Discussionmentioning

confidence: 99%

“…The success of specifying triggering factors in urticaria ranges between 21% and 83% in different studies (10)(11)(12)(13)(14)(15)(16). In our study, we found no factors that could lead to urticaria in approximately one fifth of the children with acute urticaria, and in approximately half of the children with chronic urticaria.…”

Section: Discussionmentioning

confidence: 99%

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High-dose anti-histamine use and risk factors in children with urticaria

Uysal¹,

Avcıl²,

Erge³

2016

Turk Pediatri Ars

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Aim: The drugs of choice in the treatment of urticaria in children are H1-antihistamines. The aim of the study was to evaluate children with urticaria and define risk factors for requirement of high-dose H1-antihistamines in children with urticaria. Material and Methods:The medical data of children who were diagnosed as having urticaria admitted to our outpatient clinic between January 2014 and January 2016 were searched. The medical histories, concomitant atopic diseases, parental atopy histories, medications, treatment responses, blood eosinophil and basophil counts, and serum total IgE levels were recorded. In addition, the urticaria activity score for seven days, autoimmune antibody tests, and skin prick test results were evaluated in children with chronic urticaria. Results:The numbers of the children with acute and chronic urticaria were 138 and 92, respectively. The age of the children with chronic urticaria was higher than that of those with acute urticaria (p<0.0001). There was no difference between the two groups in terms of blood eosinophil and basophil counts, and serum total IgE levels (p>0.05). There was a negative correlation between blood eosinophil count and the UAS7 score in children with chronic urticaria (r=-0.276, p=0.011). Chronic urticaria and requirement of high dose H1-antihistamines were significant in children aged ≥10 years (p<0.001, p=0.015). High UAS7 score (OR: 1.09; CI 95%: [1.03-1.15]) and basopenia (OR: 6.77; CI 95%: [2.01-22.75]) were associated with the requirement of high-dose H1-AH in children with chronic urticaria. Conclusion:The requirement of high-dose H1-antihistamines was higher with children's increasing age. Disease severity and basopenia were risk factors for the requirement of high-dose H1-antihistamines. (Turk Pediatri Ars 2016; 51: 198-203)

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

High-dose anti-histamine use and risk factors in children with urticaria

Uysal¹,

Avcıl²,

Erge³

2016

Turk Pediatri Ars

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“…Rarely is food allergy the cause of chronic urticaria and can typically be excluded on the basis of clinical history. Common triggers/aggravating factors/associations for exacerbations of chronic urticaria are intercurrent viral infections [14] and psychological factors [15]. The aetiological classification of chronic urticaria/angioedema is given in Table 2.…”

Section: Aetiologymentioning

confidence: 99%

BSACI guideline for the management of chronic urticaria and angioedema

Powell

Leech

Till

et al. 2015

Clin Experimental Allergy

253

221

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SummaryThis guidance for the management of patients with chronic urticaria and angioedema has been prepared by the Standards of Care Committee of the British Society for Allergy and Clinical Immunology (BSACI). The guideline is based on evidence as well as on expert opinion and is aimed at both adult physicians and paediatricians practising in allergy. The recommendations are evidence graded. During the development of these guidelines, all BSACI members were included in the consultation process using a Web-based system. Their comments and suggestions were carefully considered by the Standards of Care Committee. Where evidence was lacking, a consensus was reached by the experts on the committee. Included in this management guideline are clinical classification, aetiology, diagnosis, investigations, treatment guidance with special sections on children with urticaria and the use of antihistamines in women who are pregnant or breastfeeding. Finally, we have made recommendations for potential areas of future research.

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Allergic Urticaria

Oliver¹,

Saini²

2017

Clinical and Basic Immunodermatology

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Allergy is not the main trigger of urticaria in children referred to the emergency room

Cited by 45 publications

References 6 publications

High-dose anti-histamine use and risk factors in children with urticaria

High-dose anti-histamine use and risk factors in children with urticaria

BSACI guideline for the management of chronic urticaria and angioedema

Allergic Urticaria

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