Modern Approaches to the Management of Patients with Urticaria

Author:

Baranov Aleksander A.1ORCID,Namazova-Baranova Leyla S.2ORCID,Il’ina Natalya I.3ORCID,Kubanov Alexey A.4ORCID,Araviyskaya Elena R.5ORCID,Astafieva Natalya G.6ORCID,Bazaev Vitaliy T.7ORCID,Borzova Elena Yu.8ORCID,Vishneva Elena A.2ORCID,Gallyamova Yulia A.9,Danilycheva Inna V.3ORCID,Elisyutina Olga G.3ORCID,Znamenskaya Ludmila F.4ORCID,Kalugina Vera G.10ORCID,Karamova Arphenya E.4ORCID,Levina Yulia G.2ORCID,Meshkova Raisa Ya.11ORCID,Olisova Olga Yu.12ORCID,Novik Gennadiy A.13ORCID,Samtsov Alexey V.14,Selimzyanova Liliia R.15ORCID,Sokolovsky Evgeniy V.5ORCID,Fedenko Elena S.3ORCID,Fedorova Olga S.16ORCID,Fomina Daria S.17ORCID,Khayrutdinov Vladislav R.14ORCID,Chikin Vadim V.4ORCID,Shulzhenko Andrey E.18ORCID

Affiliation:

1. Pediatrics and Child Health Research Institute in Petrovsky National Research Centre of Surgery; Sechenov First Moscow State Medical University

2. Pediatrics and Child Health Research Institute in Petrovsky National Research Centre of Surgery; Pirogov Russian National Research Medical University

3. NRC Institute of Immunology

4. State Scientific Center for Dermatovenerology and Cosmetology

5. Pavlov First Saint Petersburg State Medical University

6. Saratov State Medical University named after V. I. Razumovsky

7. North Ossetian State Medical Academy

8. Sechenov First Moscow State Medical University; Veltischev Research and Clinical Institute for Pediatrics and Pediatric Surgery of the Pirogov Russian National Research Medical University

9. Russian Medical Academy of Continuing Professional Education

10. Pediatrics and Child Health Research Institute in Petrovsky National Research Centre of Surgery

11. Smolensk State University

12. Sechenov First Moscow State Medical University

13. Saint Petersburg State Pediatric Medical University

14. Military Medical Academy named after S. M. Kirov

15. Pediatrics and Child Health Research Institute in Petrovsky National Research Centre of Surgery; Sechenov First Moscow State Medical University; Pirogov Russian National Research Medical University

16. Siberian State Medical University

17. City Clinical Hospital No. 52 of Moscow Health Department

18. A.I. Yevdokimov Moscow State University of Medicine and Dentistry

Abstract

The Union of Pediatricians of Russia together with the Russian Association of Allergologists and Clinical Immunologists and the Russian Society of Dermatovenerologists and Cosmetologists have developed new clinical guidelines for the urticaria in adults and children. Urticaria is a common disease; its various clinical variants are diagnosed in 15–25% of people in the global population, and a quarter of all cases belongs to chronic urticaria. The prevalence of acute urticaria is 20%, and 2.1–6.7% in child population, whereas acute urticaria is more common in children than in adults. The prevalence of chronic urticaria in adults in the general population is 0.7 and 1.4%, and 1.1% in children under 15 years of age, according to the systematic review and meta-analysis, respectively. This article covers features of epidemiology, etiology, and pathogenesis of the disease with particular focus on differential diagnostic search. Guidelines on treatment and step-by-step therapy scheme (both based on principles of evidencebased medicine) for pediatric patients were presented. Clarification on the analysis of the therapy efficacy and the degree of disease activity was given.

Publisher

Paediatrician Publishers LLC

Subject

Pulmonary and Respiratory Medicine,Pediatrics, Perinatology and Child Health

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