Allergy Asthma Immunol Res.
2020 Jul;12(4):563-578. 10.4168/aair.2020.12.4.563.
The KAAACI/KDA Evidence-Based Practice Guidelines for Chronic Spontaneous Urticaria in Korean Adults and Children: Part 1. Definition, Methodology and First-line Management
- Song WJ
1 - Choi M2
- Lee DH3
- Kwon JW4
- Kim GW5
- Kim MH6
- Kim MA7
- Kim MH8
- Kim BK9
- Kim S10
- Kim JS11
- Kim JE12
- Kim JY13
- Kim JH14
- Kim HJ15
- Kim HO16
- Kim HB17
- Roh JY18
- Park KH19
- Park KY20
- Park HK21
- Park H22
- Bae JM23
- Byun JY24
- Song DJ25
- Ahn YM26
- Lee SE27
- Lee YB28
- Lee JS29
- Lee JH30
- Lim KH31
- Ye YM32
- Chang YS33
- Jeon YH34
- Jeon J35
- Jue MS36
- Choi SH37
- Choi JH38,39
- Hur GY40
- Park YM41
- Lim DH42
- Youn SW43
- Affiliations
-
- 1Department of Allergy and Clinical Immunology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
- 2Department of Dermatology, Inje University Ilsan Paik Hospital, Ilsan, Korea
- 3Department of Dermatology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea
- 4Department of Internal Medicine, Kangwon National University School of Medicine, Chuncheon, Korea
- 5Department of Internal Medicine, St. Carollo General Hospital, Suncheon, Korea
- 6Department of Dermatology, Dankook University College of Medicine, Cheonan, Korea
- 7Department of Pulmonology, Allergy and Critical Care Medicine, CHA Bundang Medical Center, CHA University, Seongnam, Korea
- 8Department of Internal Medicine, College of Medicine, Ewha Woman's University, Seoul, Korea
- 9Department of Internal Medicine, Korea University Medical Center Anam Hospital, Seoul, Korea
- 10Department of Internal Medicine, School of Medicine, Kyungpook National University, Daegu, Korea
- 11Department of Dermatology, Hanyang University Guri Hospital, Guri, Korea
- 12Department of Dermatology, Eunpyeong St. Mary's Hospital, The Catholic University of Korea, Seoul, Korea
- 13Division of Pulmonology and Allergy, Department of Internal Medicine, Gyeongsang National University Changwon Hospital, Changwon, Korea
- 14Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, Korea
- 15Institute for Evidence-based Medicine, Department of Preventive Medicine, College of Medicine, Korea University, Seoul, Korea
- 16Department of Dermatology, Hallym University College of Medicine, Seoul, Korea
- 17Department of Pediatrics, Inje University Sanggye Paik Hospital, Seoul, Korea
- 18Department of Dermatology, Gachon University School of Medicine Gil Medical Center, Incheon, Korea
- 19Division of Allergy and Immunology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea
- 20Department of Dermatology, Chung-Ang University College of Medicine, Seoul, Korea
- 21Department of Allergy and Clinical Immunology, Kyungpook National University Chilgok Hospital, School of Medicine, Kyungpook National University, Daegu, Korea
- 22Department of Dermatology, SMG-SNU Boramae Medical Center, Seoul, Korea
- 23Department of Dermatology, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Suwon, Korea
- 24Department of Dermatology, College of Medicine, Ewha Woman's University, Seoul, Korea
- 25Department of Pediatrics, Korea University College of Medicine, Seoul, Korea
- 26Department of Pediatrics, Eulji General Hospital, Eulji University School of Medicine, Seoul, Korea
- 27Division of Pulmonology and Allergy, Department of Internal Medicine, Pusan National University Yangsan Hospital, Yangsan, Korea
- 28Department of Dermatology, College of Medicine, the Catholic University of Korea, Seoul, Korea
- 29Department of Dermatology, School of Medicine, Eulji University, Daejeon, Korea
- 30Department of Dermatology, Seoul St. Mary's Hospital, Brain Korea 21 PLUS Project for Medical Science, College of Medicine, The Catholic University of Korea, Seoul, Korea
- 31Wirye Seoul Doctors Hospital, Seongnam, Korea
- 32Department of Allergy and Clinical Immunology, Ajou University School of Medicine, Suwon, Korea
- 33Department of Internal Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea
- 34Department of Pediatrics, Hallym University Dongtan Sacred Heart Hospital, Hwaseong, Korea
- 35Department of Dermatology, Korea University College of Medicine, Seoul, Korea
- 36Department of Dermatology, Veterans Health Service Medical Center, Seoul, Korea
- 37Department of Pediatrics, Kyung Hee University Hospital at Gangdong, School of Medicine Kyung Hee University, Seoul, Korea
- 38Department of Pulmonology and Allergy, Hallym University Dongtan Sacred Heart Hospital, Hwaseong, Korea
- 39Allergy and Clinical Immunology Research Center, Hallym University College of Medicine, Chuncheon, Korea
- 40Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea
- 41Department of Dermatology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
- 42Department of Pediatrics, School of Medicine, Inha University, Incheon, Korea
- 43Department of Dermatology, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea
- KMID: 2500739
- DOI: http://doi.org/10.4168/aair.2020.12.4.563
Abstract
- Chronic spontaneous urticaria (CSU) is defined as the occurrence of spontaneous wheals, angioedema, or both for >6 weeks in the absence of specific causes. It is a common condition associated with substantial disease burden both for affected individuals and societies in many countries, including Korea. CSU frequently persists for several years and requires high-intensity treatment; therefore, patients experience deteriorations in quality of life and medication-associated complications. During the last decade, there have been major advances in the pharmacological treatment of CSU and there is an outstanding need for evidence-based guidelines that reflect clinical practice in Korea. The guidelines reported here represent a joint initiative of the Korean Academy of Asthma, Allergy and Clinical Immunology and the Korean Dermatological Association, and aim to provide evidence-based guidance for the management of CSU in Korean adults and children. In Part 1, disease definition, guideline scope and development methodology as well as evidence-based recommendations on the use of antihistamines and corticosteroids are summarized.
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