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. 2026 Feb 6.
doi: 10.1111/all.70210. Online ahead of print.

The International Guideline for the Definition, Classification, Diagnosis and Management of Urticaria

T Zuberbier  1   2 Z Abdul Hameed Ansari  3 A H Abdul Latiff  4 M M Abuzakouk  5 M S Agcaoili-De Jesus  6 R C Agondi  7 M Al-Ahmad  8 A A Alangari  9 H Alhameli  5 C D Alonso Bello  10 S Alshareef  11 S Al-Tamemi  12   13 S Altrichter  14 H Al Wahshi  15 S Aquilina  16 M Araújo  17 R Arnaout  11 R Asero  18 B Ballmer-Weber  19 C Bangert  20 A Bauer  21 M Ben-Shoshan  22 J A Bernstein  23 C Bindslev-Jensen  24 M Bizjak  25   26   27 I Boccon-Gibod  28 H Bonnekoh  1   2 L Bouillet  28 K Brockow  29 Z Brzoza  30 M Bulatović Ćalasan  31 A Bulkhi  32 T Buttgereit  1   2 A Bygum  33 T Caballero  34 O Calderon  35 R Campos  36 M Cancian  37 E Carne  38 M A Castor  6 I Cerecedo  5 T Çetinarslan  39 I Cherrez-Ojeda  1   40   41 N Chkhikvadze  42 H J Chong-Neto  43 K Choo  44 G Christoff  45 C-Y Chu  46 K Ciupka  1   2 N Conlon  47 C Costa  48 T Craig  49   50 P Criado  51 I Danilycheva  52 R Darlenski  53 E De Arruda Chaves  54 L de Montjoye  55 M S Doutre  56 A Du-Thanh  57 D Ebo  58 S Elkhalifa  5   59 S Elmariah  60 T El-Shanawany  61 L F Ensina  62 R Ertaş  63 R Fachini Jardim Criado  51 M Ferrer  64 S Ferrucci  65 J S Fok  66 D Fomina  67   68 L Fonacier  69 G Fouda  70 I Francescantonio  71 A Fukunaga  72 C A Galvan Calle  73 E Garcia  74 K Gáspár  75 A Gelincik  76 S Geng  77 K Godse  78 M Gonçalo  79 M Gotua  42   80 C Grattan  81 M Grosber  82   83 G Guidos Fogelbach  84 M Guilarte  85   86 R Guillod  87 E Hamelmann  88 J Hawkes  89 K Hayama  90 R Heuer  91 M Hide  92   93 W Hoetzenecker  94 N Inomata  95 H-R Kang  96 A Kaplan  97 A Kapp  98 M Karam  99 A Kasperska-Zajac  100 C H Katelaris  101 A Kessel  102 M Khoshkhui  103 B Kim  104 T Kinaciyan  20 E Kocatürk  1   2   105 M Kolacinska-Flont  106 P Kolkhir  1   2 G N Konstantinou  107 M Kosnik  26   108 D Krasowska  109 K Kulthanan  110 M S Kumaran  111 I Kuprys-Lipinska  106 M Labrador  85 J I Larco  112 D Larenas-Linnemann  113 E Latysheva  52 E Lazaridou  114 P H Li  115 H Lima  116 U Lippert  117 M Magerl  1   2 M Makris  118 J Alves Marcelino  119 A V Marzano  65   120 I Medina  121 R Meshkova  122 D Micallef  16 R Mohammed Ali  123 C G Mortz  124 M Munoz  1   2 H N G Oude Elberink  125 A Nakonechna  126 I Nasr  3 A Nast  91 E Netchiporouk  127 E Nettis  128 S Nieto  129 I Ogueta Canales  130 T-L Okas  131 R L Orfali  132 E Özkaya  133 C Parisi  134 A Pennitz  91 R Pawankar  135 M P Pereira  1   2 J Peter  136 E Petkova  137 P D Pigatto  138   139 I Podder  140 T Popov  141 G Porebski  142   143 P Pyatilova  1   2 G D Ramon  144 H A Ratti Sisa  145 M Recto  146 K Ress  147 K Ridge  148 M Riedl  149 C Ritchie  150 N Rosario Filho  151 I Rosmaninho  152 M Rudenko  153 M Rukhadze  42   154 K Rutkowski  155 V Sabato  58 U M Sahiner  156 S Saini  157 F Saleh Al Sabbagh  158 A Salman  159 F Salvo  5 J Sanchez  160 A Santucci  161 S Schliemann  162 P Schmid-Grendelmeier  163 B E Sekerel  156 F Serpa  164 F Sheikh  165 J Sheikh  166 H Shendi  167 F Siebenhaar  1   2 M Sonomjamts  168 A Soria  169 B Sousa Pinto  170   171 M Staevska  172 P Staubach  173 M Stephan  1   2 K Stevanovic  1   2 L Stingeni  174 M Stobiecki  143 Ö Su Küçük  175 G Sussman  176 A Szegedi  175 S Takahagi  177 A Tanaka  178 N Teovska Mitrevska  179 S F Thomsen  180 E Toubi  102 F Tsatsou  114 M Turk  181 Z Vadasz  102 A Valerieva  182 S Valle  183 M V Doorn  184 B Veleiro Perez  185 C E Vera Ayala  1   2 C Vestergaard  186 R J Vieira  170   171 C W Maruta  132 B Wedi  187 R N Werner  91 E W Y Yap  188 P Xepapadaki  118 Y Xiang  189 Y-M Ye  190 P Yong  191 G Yosipovitch  192 A Z J Zalewska-Janowska  193 C Zeyen  91 Z Zhao  194 M Metz  1   2 A M Giménez-Arnau  195
Affiliations

The International Guideline for the Definition, Classification, Diagnosis and Management of Urticaria

T Zuberbier et al. Allergy. .

Abstract

This update and revision of the international guideline for urticaria was developed in accordance with the methods recommended by Cochrane and the Grading of Recommendations Assessment, Development and Evaluation (GRADE) working group. It is an initiative of the Global Allergy and Asthma Excellence Network (GA2LEN) and its Urticaria and Angioedema Centers of Reference and Excellence (UCAREs and ACAREs), with the participation of 210 delegates from 107 national and international societies, from 59 countries. The consensus conference was held on December 6th, 2024. This guideline was acknowledged and accepted by the European Union of Medical Specialists (UEMS). Urticaria is a frequent, mast cell-driven disease, defined by a rapid appearance of wheals, angioedema, or both. The lifetime prevalence of acute urticaria is estimated to be approximately 20%. Chronic urticaria, categorized as either chronic spontaneous urticaria or chronic inducible urticaria, is disabling, impairs quality of life, and affects performance at work and school, however, novel therapies are available. This updated version of the international guideline for urticaria covers the definition and classification of urticaria and outlines expert-guided and evidence-based diagnostic and therapeutic approaches for the different subtypes of urticaria.

Keywords: angioedema; consensus; evidence‐based; hives; itch; mast cell; urticaria; wheals.

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References

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