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Insights
Helicobacter pylori (H. pylori) infection can cause chronic urticaria in children when standard treatments fail. Eradicating H. pylori effectively resolved chronic urticaria in a pediatric case, suggesting its consideration in difficult cases.
Area of Science:
- Pediatric Gastroenterology
- Dermatology
- Infectious Diseases
Background:
- Chronic urticaria is a common pediatric condition often requiring complex management strategies.
- Identifying underlying causes is crucial when conventional therapies prove ineffective.
Observation:
- A 9-year-old girl presented with chronic urticaria and suspected celiac disease.
- Endoscopy revealed H. pylori gastritis; small bowel mucosa was normal.
Findings:
- Biopsy confirmed H. pylori gastritis.
- Successful H. pylori eradication therapy led to complete resolution of chronic urticaria.
Implications:
- H. pylori should be considered in the differential diagnosis of pediatric chronic urticaria unresponsive to standard treatments.
- This case highlights the potential gastrointestinal origins of seemingly dermatological conditions in children.
Abstract:
Chronic urticaria is fairly a common disorder in children and management is sometime challenging. Helicobacter pylori (H. pylori) should be considered as one of the causes for chronic urticaria when the response to conventional treatment is not appropriate. A nine years old girl with suspicion of wheat allergy (celiac disease) and chronic urticaria was referred for endoscopy. Antral nodularity with H. pylori gastritis was observed and confirmed on biopsy specimen with normal small bowel mucosa. Treatment for H. pylori cured her chronic urticaria. H. pylori should be considered as one of the differential if conventional medication does not help curing chronic urticaria.
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