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Urticarin in Children

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Author(s): M Rohani

Journal: Iranian Journal of Pediatrics
ISSN 2008-2142

Volume: 12;
Issue: 1;
Start page: 32;
Date: 2002;
Original page

ABSTRACT
The main goal of this paper is to show the way of approaching to and management of pediatric urticaria. At first the definition as well different types and pathogenesis of the disease is discussed. Acomplete history and exact physical examination is always helpful. A complete history should consist of a whether the urticaria is related to a special time of the year (season), place (immediate home or work environment) or activity (ingestion of foods or drugs, physical activity, etc.); 2) a detailed review of all home remedies and prescriptions. Several simple provocative tests are available. Routing skin testing with scratch of interadermal antigens is usually not very helpful in most cases of chronic urticaria, selsctive laboratory and x – ray examinations based upon individualized findings may be necessary in these patients. The most important aspect of the therapy is elimination of the etiologic agent. In acute sever urticaria administration of epinephrine, antihistamines and systemic corticosteroids is necessary. In acute mild to moderate or a chronic urticaria, the first choice in H1 antihistamines. If there is little or no response, the dose should be increased and/or H2 antihistamies administered. Ketotifen has been successfully used in many cases of urticaria. Tricyclic antidepressants such as doxepin and propranolol may be used when there is a stress component. In refractory cases ditary intervention, development of tolerance, calcium channel antagonist, a trial –infectives or antimalarial therapy may be helpful.

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