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Navigating Pediatric Urticaria: Diagnosis and Management for the Busy Pediatrician

Kristen D Goncalves1, Sara M Laule1, Heather L Burrows1

  • 1Department of Pediatrics, Michigan Medicine, University of Michigan, Ann Arbor, Michigan.

Pediatric Annals
|July 6, 2026
PubMed

Insights

Pediatric urticaria, a common skin condition, requires careful management to avoid unnecessary tests and referrals. This review covers causes, treatments, and practical strategies for outpatient pediatricians managing acute and chronic hives in children.

Area of Science:

  • Pediatric Dermatology
  • Immunology
  • Clinical Medicine

Background:

  • Urticaria is a prevalent pediatric skin condition.
  • It often leads to extensive medical evaluations, including unnecessary tests and specialist referrals.
  • Management approaches differ based on urticaria type.

Purpose of the Study:

  • To review the etiology, pathophysiology, and treatment of acute and chronic urticaria in children.
  • To highlight new developments in urticaria management.
  • To provide practical clinical strategies for outpatient pediatricians.

Main Methods:

  • Literature review focusing on pediatric urticaria.
  • Analysis of causes, symptom management, and diagnostic work-up.
  • Emphasis on current treatment modalities and new advancements.

Main Results:

  • Etiology and management vary significantly between acute and chronic urticaria.
  • Current treatment strategies are evolving, with new developments offering improved outcomes.
  • Clear indications for diagnostic work-up and specialist referral are crucial.

Conclusions:

  • Effective management of pediatric urticaria requires understanding its diverse causes and types.
  • Outpatient pediatricians can effectively manage most cases with practical strategies.
  • Appropriate work-up and referral protocols are essential to optimize patient care and resource utilization.

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