Prevalence and Risk Factors of Urticaria With a Focus on Chronic Urticaria in Children

Seung Jin Lee1, Eun Kyo Ha1, Hye Mi Jee1

  • 1Department of Pediatrics, Bundang CHA Medical Center, CHA University School of Medicine, Seongnam, Korea.

Insights

A study found 1.8% of Korean children have chronic urticaria. Risk factors for chronic continuous urticaria include moving to a new residence and high family income.

Area of Science:

  • Pediatric Dermatology
  • Allergy and Immunology
  • Epidemiology

Background:

  • Urticaria is a common skin condition in children.
  • Data on pediatric urticaria prevalence and risk factors in Korea is limited.

Purpose of the Study:

  • To determine the prevalence of acute and chronic urticaria in Korean children.
  • To identify risk factors associated with pediatric urticaria.

Main Methods:

  • A population-based study of 4,076 Korean children (ages 4-13) from the 2015 Seongnam Atopy Project.
  • Parental questionnaires assessed urticaria characteristics; blood tests measured vitamin D, eosinophils, and IgE; skin prick tests were performed.

Main Results:

  • Prevalence: lifetime 22.5%, acute 13.9%, chronic 1.8% (continuous 0.7%, recurrent 1.1%).
  • Acute urticaria linked to allergies and parental allergy history (P<0.001).
  • Chronic continuous urticaria associated with new residence (aOR=2.38) and high family income (aOR=4.24).

Conclusions:

  • 1.8% of Korean children experience chronic urticaria.
  • Environmental and socioeconomic factors, not traditional allergy markers, are linked to chronic continuous urticaria in this pediatric population.
Abstract

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