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Chronic Urticaria in Children: A Single-Center Retrospective Study From Turkey
Zeynep Topkarci1, Gizem Gökçedağ Ünsal2, Burçe Can Kuru3
1Department of Dermatology, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.
Insights
Childhood chronic urticaria (CU) is often linked to infections, particularly dental issues. This study highlights that chronic spontaneous urticaria (CSU) is the most common form in children, increasing with age.
Area of Science:
- Pediatrics
- Dermatology
- Epidemiology
Background:
- Childhood chronic urticaria (CU) research is limited.
- Understanding CU's epidemiology and causes in children is crucial.
Purpose of the Study:
- To investigate epidemiological and etiological factors in pediatric CU patients.
- To analyze demographic data, laboratory findings, and triggers for CU in children under 18.
Main Methods:
- Retrospective evaluation of 124 pediatric CU patients.
- Analysis of patient demographics, clinical presentation, and identified etiological factors.
Main Results:
- Chronic spontaneous urticaria (CSU) affected 75% of patients; chronic inducible urticaria (CIU) affected 24.2%.
- Infections, primarily dental problems (16.9%), were the leading cause (29.8%), followed by drugs (8%).
- No cause was found in 56.5% of cases; angioedema occurred in 18.5%.
Conclusions:
- Pediatric CU prevalence rises with age, with CSU being most common.
- Infections, especially dental issues, are significant etiological factors in childhood CU.
- Further research is needed to identify causes in a substantial portion of pediatric CU cases.
Abstract:
The studies on childhood chronic urticaria (CU) are limited. We aimed to investigate the epidemiological and etiological factors of children with CU. Demographic characteristics, laboratory findings, and etiological factors of patients diagnosed with CU younger than the age of 18 were retrospectively evaluated. Of the 124 participants, 68 (54.8%) were aged 12 and older. Angioedema accompanied 18.5% of the patients. Chronic spontaneous urticaria (CSU) was found in 75%, while 24.2% had chronic inducible urticaria. Symptomatic dermographism (16.1%) was the most common among chronic inducible urticaria, followed by cholinergic urticaria (4.8%). No etiological factor could be detected in 56.5% of the children. Infections (29.8%) were the most common etiological factor, followed by drugs (8%). Dental problems (16.9%) were the primary infections associated with CU. Chronic urticaria prevalence in children increased with age, with CSU being the most common type. Infections played a significant role in childhood CU.
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