Allergy Asthma Respir Dis.  2015 Jan;3(1):3-14. 10.4168/aard.2015.3.1.3.

KAAACI Work Group report on the management of chronic urticaria

Affiliations
  • 1Department of Allergy and Clinical Immunology, Ajou University School of Medicine, Suwon, Korea.
  • 2Department of Pediatrics, National Health Insurance Corporation Ilsan Hospital, Goyang, Korea.
  • 3Department of Pediatrics, Kyung Hee University School of Medicine, Seoul, Korea.
  • 4Maeil Central Research Laboratory, Pyeongtaek, Korea.
  • 5Suwon Center for Environmental Disease and Atopy, Suwon, Korea. jsjs87@ajou.ac.kr
  • 6Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
  • 7Department of Pediatrics, Soonchunhyang University College of Medicine, Cheonan, Korea.
  • 8Department of Pediatrics, Sungkyunkwan University School of Medicine, Seoul, Korea.
  • 9Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea.
  • 10Department of Internal Medicine, Hallym University College of Medicine, Chuncheon, Korea.
  • 11Department of Pediatrics, Eulji University School of Medicine, Daejeon, Korea.
  • 12Department of Internal Medicine, Inje University College of Medicine, Busan, Korea.
  • 13Department of Pediatrics, Ajou University School of Medicine, Suwon, Korea.

Abstract

Chronic urticaria (CU) is defined by the presence of urticaria that has been continuously or intermittently for a period of 6 weeks or longer. The prevalence of CU in the general population has been estimated to range from 0.5% to 5%. Correct diagnosis and proper management for CU is essential to improve the quality of care. To date, several practical guidelines have been available for practitioners. In this article, we reviewed and summarized the epidemiology, pathogenesis, diagnosis, and management based on case reports and studies of CU from Korea and the other part of world, and recently published guidelines. Although there are many controversies, this report for CU would provide a clinical guidance for healthcare professionals in Korea.

Keyword

Urticaria; Chronic; Etiology; Diagnosis; Treatment

MeSH Terms

Delivery of Health Care
Diagnosis
Epidemiology
Korea
Prevalence
Urticaria*

Figure

  • Fig. 1 Stepwise approach to the treatment for chronic urticaria in the American guideline. *Recommended by the European guideline. †Leukotriene receptor antagonist is included in the 3rd line treatment with omalizumab and cyclosporine of the European guideline. Adapted from Bernstein JA, et al. J Allergy Clin Immunol 2014;133:1270-7, with permission from Elsevier Inc.5)


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