Consensus statement on the management of urticaria
- PMID: 22121259
- PMCID: PMC3221204
- DOI: 10.4103/0019-5154.87119
Consensus statement on the management of urticaria
Abstract
This consensus statement was developed by Special Interest Group - Urticaria (IADVL). Urticaria, a heterogeneous group of diseases, often cannot be recognized by its morphology. Due to non-specific and non-affordable diagnosis, management of urticaria, especially chronic urticaria, is very challenging. This guideline includes definition, causes, classification and management of urticaria. Urticaria has a profound impact on the quality of life and causes immense distress to patients, necessitating effective treatment. One approach to manage urticaria is identification and elimination of the underlying cause(s) and/or eliciting trigger(s), while the second one is treatment aimed at providing symptomatic relief. This guideline recommends use of second-generation non-sedating H1 antihistamines as the first-line treatment. The dose can be increased up to four times to meet the expected results. In case patients still do not respond, appropriate treatment options can be selected depending on the cost.
Keywords: Chronic urticaria; consensus statement; definition; treatment; urticaria.
Conflict of interest statement
Figures
Similar articles
-
Consensus Statement for the Diagnosis and Treatment of Urticaria: A 2017 Update.Indian J Dermatol. 2018 Jan-Feb;63(1):2-15. doi: 10.4103/ijd.IJD_308_17. Indian J Dermatol. 2018. PMID: 29527019 Free PMC article. Review.
-
Diagnosis and Management of Urticaria in Indian Settings: Skin Allergy Research Society's Guideline-2022.Indian J Dermatol. 2022 Nov-Dec;67(6):732-743. doi: 10.4103/ijd.ijd_307_22. Indian J Dermatol. 2022. PMID: 36998850 Free PMC article.
-
S3 Guideline Urticaria. Part 2: Treatment of urticaria - German-language adaptation of the international S3 guideline.J Dtsch Dermatol Ges. 2023 Feb;21(2):202-215. doi: 10.1111/ddg.14932. Epub 2023 Feb 2. J Dtsch Dermatol Ges. 2023. PMID: 36730626
-
Management of chronic urticaria in Asia: 2010 AADV consensus guidelines.Asia Pac Allergy. 2012 Apr;2(2):149-60. doi: 10.5415/apallergy.2012.2.2.149. Epub 2012 Apr 30. Asia Pac Allergy. 2012. PMID: 22701866 Free PMC article.
-
Treatment of chronic spontaneous urticaria with an inadequate response to H1-antihistamines: an expert opinion.Eur J Dermatol. 2017 Feb 1;27(1):10-19. doi: 10.1684/ejd.2016.2905. Eur J Dermatol. 2017. PMID: 27882879 Review.
Cited by
-
Chronic urticaria and use of statins.Asia Pac Allergy. 2012 Jul;2(3):227-9. doi: 10.5415/apallergy.2012.2.3.227. Epub 2012 Jul 25. Asia Pac Allergy. 2012. PMID: 22872826 Free PMC article. No abstract available.
-
Up-dosing of non-sedating antihistamines in chronic urticaria: Need for well-designed clinical trials in India.Perspect Clin Res. 2014 Apr;5(2):88-90. doi: 10.4103/2229-3485.128029. Perspect Clin Res. 2014. PMID: 24741487 Free PMC article.
-
Computer-assisted Medical Decision-making System for Diagnosis of Urticaria.MDM Policy Pract. 2016 Nov 9;1(1):2381468316677752. doi: 10.1177/2381468316677752. eCollection 2016 Jul-Dec. MDM Policy Pract. 2016. PMID: 30288410 Free PMC article.
-
Updosing of Nonsedating Anti-histamines in Recalcitrant Chronic Urticaria.Indian J Dermatol. 2016 May-Jun;61(3):273-8. doi: 10.4103/0019-5154.182406. Indian J Dermatol. 2016. PMID: 27293247 Free PMC article. Review.
-
Institute of Child Health, Kolkata, 1956-2022.Indian Pediatr. 2022 Sep 15;59(9):734-739. doi: 10.1007/s13312-022-2613-3. Indian Pediatr. 2022. PMID: 36101961 Free PMC article.
References
-
- Zuberbier T, Asero R, Bindslev-Jensen C, Canonica GW, Church MK, Gimeénez-Arnau AM, et al. EAACI/GA2LEN/EDF/WAO guideline: Definition, classification and diagnosis of urticaria. Allergy. 2009;64:1417–26. - PubMed
-
- Yadav S, Upadhyay A, Bajaj AK. Chronic urticaria: An overview. Indian J Dermatol. 2006;51:171–7.
-
- Khandpur S, Dash S. Urticaria :Etiology and pathogenesis. In: Sharma VK, editor. Handbook of urticaria. First edition. New Delhi: 2008. pp. 7–11.
-
- Dibbern DA, Jr, Dreskin SC. Urticaria and angioedema: an overview. Immunol Allergy Clin N Am. 2004;24:141–62. - PubMed
-
- Greaves MW. Chronic urticaria. N Engl J Med. 1995;332:1762–72. - PubMed
LinkOut - more resources
Full Text Sources