Management of chronic urticaria in children: a clinical guideline

被引:57
|
作者
Caffarelli, Carlo [1 ]
Paravati, Francesco [2 ]
El Hachem, Maya [3 ]
Duse, Marzia [4 ]
Bergamini, Marcello [5 ]
Simeone, Giovanni [6 ]
Barbagallo, Massimo [7 ]
Bernardini, Roberto [8 ]
Bottau, Paolo [9 ]
Bugliaro, Filomena [10 ]
Caimmi, Silvia [11 ]
Chiera, Fernanda [2 ]
Crisafulli, Giuseppe [12 ]
De Ranieri, Cristiana [13 ]
Di Mauro, Dora [14 ]
Diociaiuti, Andrea [3 ]
Franceschini, Fabrizio [15 ]
Gola, Massimo [16 ,17 ]
Licari, Amelia [11 ]
Liotti, Lucia [18 ]
Mastrorilli, Carla [19 ]
Minasi, Domenico [20 ]
Mori, Francesca [21 ]
Neri, Iria [22 ]
Pantaleo, Aurelia [23 ]
Saretta, Francesca [24 ,25 ]
Tesi, Carlo Filippo [10 ]
Corsello, Giovanni [26 ]
Marseglia, Gian Luigi [11 ]
Villani, Alberto [27 ]
Cardinale, Fabio [19 ]
机构
[1] Univ Parma, Dipartimento Med & Chirurg, Clin Pediat, Parma, Italy
[2] Azienda Sanit Prov Crotone, Maternal Infant Dept, Pediat Unit, Crotone, Italy
[3] Bambino Gesu Pediat Hosp, IRCCS, Dermatol Unit, Rome, Italy
[4] Sapienza Univ Rome, Policlin Umberto 1, Dept Pediat, Rome, Italy
[5] Local Hlth Unit Ferrara, Ferrara, Italy
[6] Local Hlth Unit Brindisi, Brindisi, Italy
[7] Azienda Rilievo Nazl ARNAS GARIBALDI, Pediat Unit, Catania, Italy
[8] San Giuseppe Hosp, Paediat Unit, Empoli, Italy
[9] Imola Hosp, Pediat & Neonatol Unit, Imola, BO, Italy
[10] Federaz Italiana Pazienti, FEDERASMA & Allergie Onlus, Prato, Italy
[11] Univ Pavia, Fdn IRCCS Policlin San Matteo, Pediat Clin, Pavia, Italy
[12] Univ Messina, Dipartimento Pediat, UO Allergol, Messina, Italy
[13] Bambino Gesu Pediat Hosp, IRCCS, Clin Psychol Unit, Rome, Italy
[14] Univ Parma, Dept Med & Surg, Clin Pediat, Parma, Italy
[15] Azienda Osped Univ Osped Riuniti, UOC Pediat, Ancona, Italy
[16] AUTC, Allergol & Pediat Dermatol Unit, Florence, Italy
[17] Univ Florence, Florence, Italy
[18] Senigallia Hosp, Dept Pediat, Senigallia, Italy
[19] Azienda Osped Univ Consorziale Policlin, Osped Pediat Giovanni XXIII, Pediat Allergy & Pulmunol Unit, Dept Pediat & Emergency, Bari, Italy
[20] Azienda Osped Bianchi Melacrino Morelli, UOC Pediat, Reggio Di Calabria, Italy
[21] Anna Meyer Childrens Univ Hosp, Dept Pediat Med, Allergy Unit, Florence, Italy
[22] Univ Bologna, Dermatol Unit, Bologna, Italy
[23] Azienda Osped Univ Parma, Clin Pediat, Parma, Italy
[24] AAS2 Bassa Friulana Isontina, Pediat Dept, Palmanova Latisana, Italy
[25] Dept Med, Pediat Allergy Unit, Udine, Italy
[26] Univ Palermo, Clin Pediat, Palermo, Italy
[27] Osped Pediat Bambino Gesu, UOC Pediat Gen & Malattie Infett, Rome, Italy
关键词
Allergy; Angioedema; Chronic urticaria; Chronic spontaneous urticaria; Children; Inducible uricaria; Management; Omalizumab; Pathogenesis; Pediatric; Therapy; Urticaria; CHRONIC IDIOPATHIC URTICARIA; SERUM SKIN-TEST; QUALITY-OF-LIFE; CHRONIC IDIOPATHIC/SPONTANEOUS URTICARIA; SYSTEMIC-LUPUS-ERYTHEMATOSUS; FC-EPSILON-RI; AUTOLOGOUS SERUM; CHOLINERGIC URTICARIA; NATURAL-HISTORY; HELICOBACTER-PYLORI;
D O I
10.1186/s13052-019-0695-x
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
The aim of this guidance is to provide recommendations to clinicians and other interested parties on chronic urticaria in children. The Italian Society for Pediatrics (SIP), the Italian Society for Allergy and Immunology (SIAIP), the Italian Society for Pediatric dermatology (SIDerP) convened a multidisciplinary panel that prepared clinical guidelines for diagnosis and management of chronic urticaria in childhood. Key questions on epidemiology, natural history, diagnosis, and management were developed. The literature was systematically searched and evaluated, recommendations were rated and algorithms for diagnosis and treatment were developed. The recommendations focus on identification of diseases and comorbidities, strategies to recognize triggering factors, improvement of treatment by individualized care.
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页数:25
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