Aetiological Factors Associated with Chronic Urticaria in Children: A Systematic Review

被引:54
作者
Caffarelli, Carlo [1 ]
Cuomo, Barbara [2 ]
Cardinale, Fabio [3 ]
Barberi, Salvatore [4 ]
Dascola, Carlotta Povesi [1 ]
Agostinis, Fabio [5 ]
Franceschini, Fabrizio [6 ]
Bernardini, Roberto [7 ]
机构
[1] Univ Parma, Azienda Osped Univ, Dipartimento Med Clin & Sperimentale, Pediat Clin, IT-43122 Parma, Italy
[2] Osped Viterbo, UOC Pediat, Viterbo, Italy
[3] Azienda Osped Univ Policlin Giovanni XXIII, UOC Med Pediat & Pneumoallergoimmunol, Bari, Italy
[4] Univ Milan, Pediat Clin, Osped S Paolo, I-20122 Milan, Italy
[5] OORR Bergamo, USC Pediat, Bergamo, Italy
[6] Osped G Salesi, UO Pediat, Ancona, Italy
[7] Nuovo Osped S Giuseppe, UOC Pediat, Empoli, Italy
关键词
chronic urticaria; childhood; systematic review; physical urticaria; infections; idiopathic urticaria; autoimmune urticaria; allergy; food allergy; additive; NATURAL-HISTORY; MANAGEMENT; GUIDELINES; CHILDHOOD; CONSENSUS; STRENGTH; QUALITY; GRADE;
D O I
10.2340/00015555-1511
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
Chronic urticaria is a distressing condition with high costs. The aim of this literature review was to assess the relative frequency of causes of chronic urticaria in childhood and to provide guidance on which laboratory tests should be performed. Using PubMed, EMBASE and Cochrane databases, the literature from 1966 to 2010 (week 25) was systematically reviewed. Data from studies conducted on children who had had urticaria for at least 6 weeks, and assessing at least 3 different causes of urticaria, were analysed by reviewers using independent extraction. Six studies, all of low quality, met the inclusion criteria. Idiopathic and physical urticaria were common. Infections, autoimmunity and allergy were also reported. We conclude that children with chronic urticaria not caused by physical stimuli should undergo tests for allergy or infections only when there is a history of cause-effect correlation. High-quality trials are warranted to evaluate the causes of chronic urticaria in childhood.
引用
收藏
页码:268 / 272
页数:5
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