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. 2012 Apr;2(2):149-60.
doi: 10.5415/apallergy.2012.2.2.149. Epub 2012 Apr 30.

Management of chronic urticaria in Asia: 2010 AADV consensus guidelines

Steven K W Chow  1
Affiliations

Management of chronic urticaria in Asia: 2010 AADV consensus guidelines

Steven K W Chow. Asia Pac Allergy. 2012 Apr.

Abstract

This guideline is a result of a consensus reached during the 19th Asian-Australasian Regional Conference of Dermatology by the Asian Academy of Dermatology and Venereology Study Group in collaboration with the League of Asian Dermatological Societies in 2010. Urticaria has a profound impact on the quality of life in Asia and the need for effective treatment is required. In line with the EAACI/GA(2)LEN/EDF/WAO guideline for the management of urticaria the recommended first-line treatment is new generation, non-sedating H1-antihistamines. If standard dosing is ineffective, increasing the dosage up to four-fold is recommended. For patients who do not respond to a four-fold increase in dosage of non-sedating H1-antihistamines, it is recommended that therapies such as H2-antihistamine, leukotriene antagonist, and cyclosporine A should be added to the antihistamine treatment. In the choice of second-line treatment, both their costs and risk/benefit profiles are the most important considerations.

Keywords: Asia; Consensus; Guideline; Treatment; Urticaria; Wheal.

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Figures

Fig. 1
Fig. 1
Recommended treatment algorithm for chronic urticaria. (Taken from Fig. 1: EAACI/GA2LEN/EDF/WAO guideline: management of urticaria [1]).
See this image and copyright information in PMC

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