Approaches to the diagnosis and management of chronic urticaria in children / 소아과
Korean Journal of Pediatrics
;
: 159-164, 2015.
Article
in English
| WPRIM
| ID: wpr-174520
ABSTRACT
Most guidelines for chronic urticaria (CU) in infants and children are based on limited pediatric evidence. Current evidence used to guide treatment in children is extrapolated from data focusing on older age groups. CU in children is a different and complex condition than that in adults. Furthermore, there is little published information regarding urticaria in Korean children. The aim of the present article is to review recent research on chronic childhood urticaria and improve the current understanding of its pathogenesis and management. The classification and definition of urticaria in adults also applies to children. CU is defined as a daily occurrence of spontaneous wheals, angioedema, or both for >6 weeks. The precise pathophysiology of CU is unknown and the rates of successful identification of a cause in children with CU vary from 20%-50%. There is no established laboratory test to evaluate the presence of urticaria. The natural course of childhood CU is undetermined, with limited reports discussing long-term outcomes. Second-generation H1 antihistamines are the cornerstone of management, while limited therapeutic drugs are available for adults.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Urticaria
/
Classification
/
Diagnosis
/
Histamine Antagonists
/
Angioedema
Type of study:
Diagnostic study
/
Practice guideline
Limits:
Adult
/
Child
/
Humans
/
Infant
Language:
English
Journal:
Korean Journal of Pediatrics
Year:
2015
Type:
Article
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