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Pediatric urticaria in the Emergency Department: epidemiological characteristics and predictive factors for its

V Talarico1, G L Marseglia2, M Lanari3

  • 1Department of Pediatrics, Pugliese-Ciaccio Hospital of Catanzaro, Catanzaro, Italy.

European Annals of Allergy and Clinical Immunology
|May 7, 2020
PubMed

Insights

Acute urticaria in children is often linked to infections but can be idiopathic. Identifying the cause in the emergency department may predict if symptoms persist long-term.

Area of Science:

  • Pediatrics
  • Dermatology
  • Epidemiology

Background:

  • Acute urticaria (AU) is a frequent reason for pediatric emergency department (ED) visits.
  • Understanding AU's characteristics and progression is crucial for effective management.

Purpose of the Study:

  • To analyze the epidemiological features of AU in children.
  • To identify predictors of AU severity and symptom persistence.

Main Methods:

  • Retrospective analysis of 314 children diagnosed with AU in the ED.
  • Data collected on onset, duration, severity, triggers, and symptom persistence at 1, 3, and 6 months.

Main Results:

  • Infections were the most common cause (43.9%), with 32.4% classified as idiopathic.
  • AU was more prevalent in males and preschool-aged children.
  • Persistent urticaria at 6 months was observed in 9.5% of cases, particularly those with contact or idiopathic AU.

Conclusions:

  • Etiological factors identified during the initial ED visit can predict the persistence of acute urticaria.
  • Early identification of triggers may guide long-term management strategies for pediatric AU.
Abstract

Keywords:
Acute urticariachildrenepidemiologyseveritytrigger factors

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