Urticaria: recommendations from the Italian Society of Allergology, Asthma and Clinical Immunology and the Italian Society of Allergological, Occupational and Environmental Dermatology.

Autor: Nettis E; 1Department of Emergency and Organ Transplantation, School and Chair of Allergology and Clinical Immunology, University of Bari - Aldo Moro, Bari, Italy., Foti C; 2Department of Biomedical Science and Human Oncology, Dermatological Clinic, University of Bari, Bari, Italy., Ambrifi M; 3San Gallicano Dermatological Institute -IRCCS, Rome, Italy., Baiardini I; 4Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy., Bianchi L; 5Section of Dermatology, Department of Medicine, University of Perugia, Perugia, Italy., Borghi A; 6Section of Dermatology, Department of Medical Sciences, University of Ferrara, Ferrara, Italy., Caminati M; 7Asthma Center and Allergy Unit, University of Verona and General Hospital, Verona, Italy., Canonica GW; 4Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy.; 8Personalized Medicine, Asthma and Allergy, IRCCS Humanitas, Rozzano, Milan, Italy., Casciaro M; 9School and Division of Allergy and Clinical Immunology, Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy., Colli L; 10Department of Biomedical, Surgical and Dental Sciences, Clinical Dermatology, IRCCS Galeazzi Orthopaedic Institute, University of Milan, Milan, Italy., Colombo G; 11Unit of Immunology, Rheumatology Allergy and Rare Diseases, IRCCS Ospedale San Raffaele, Milan, Italy., Corazza M; 6Section of Dermatology, Department of Medical Sciences, University of Ferrara, Ferrara, Italy., Cristaudo A; 3San Gallicano Dermatological Institute -IRCCS, Rome, Italy., De Feo G; 12Division of Allergy and Clinical Immunology, University of Salerno, Salerno, Italy., De Pita' O; 13Clinical Pathology and Immune Inflammatory Disease of the Skin, Cristo Re Hospital, Rome, Italy., Di Gioacchino M; 14Department of Medicine and Science on Ageing, School of Medicine, G. d'Annunzio University, Chieti-Pescara, Italy., Di Leo E; Section of Allergy and Clinical Immunology, Unit of Internal Medicine, 'F. Miulli' Hospital, Strada Provinciale per Santeramo Km 4.100, Acquaviva Delle Fonti (BA), Italy., Fassio F; Allergy and Clinical Immunology Unit, Azienda USL Toscana Centro, Florence, Italy., Gangemi S; 9School and Division of Allergy and Clinical Immunology, Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy., Gatta A; 14Department of Medicine and Science on Ageing, School of Medicine, G. d'Annunzio University, Chieti-Pescara, Italy., Hansel K; 5Section of Dermatology, Department of Medicine, University of Perugia, Perugia, Italy., Heffler E; 4Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy.; 8Personalized Medicine, Asthma and Allergy, IRCCS Humanitas, Rozzano, Milan, Italy., Incorvaia C; Cardiac/Pulmonary Rehabilitation, ASST Pini-CTO, Milan, Italy., Napolitano M; 18Section of Dermatology, Department of Medicine and Health Sciences Vincenzo Tiberio, University of Molise, Campobasso, Italy., Patruno C; 19Department of Health Sciences, University Magna Graecia of Catanzaro, Catanzaro, Italy., Peveri S; Allergy Department Unit, Piacenza Hospital, Piacenza, Italy., Pigatto PD; 10Department of Biomedical, Surgical and Dental Sciences, Clinical Dermatology, IRCCS Galeazzi Orthopaedic Institute, University of Milan, Milan, Italy., Quecchia C; 21Centro 'Io e l'Asma', Ospedale dei Bambini, ASST Spedali Civili, Brescia, Italy., Radice A; 22Immunoallergology Unit, Careggi University Hospital, Florence, Italy., Ramirez GA; 11Unit of Immunology, Rheumatology Allergy and Rare Diseases, IRCCS Ospedale San Raffaele, Milan, Italy., Romita P; 2Department of Biomedical Science and Human Oncology, Dermatological Clinic, University of Bari, Bari, Italy., Rongioletti F; Dermatological Clinic/UC of Dermatology, Department of Medical Science and Public Health, AOU Cagliari, Cagliari, Italy., Rossi O; 22Immunoallergology Unit, Careggi University Hospital, Florence, Italy., Savi E; Allergy Department Unit, Piacenza Hospital, Piacenza, Italy., Senna G; 7Asthma Center and Allergy Unit, University of Verona and General Hospital, Verona, Italy., Triggiani M; 12Division of Allergy and Clinical Immunology, University of Salerno, Salerno, Italy., Zucca M; Dermatological Clinic/UC of Dermatology, Department of Medical Science and Public Health, AOU Cagliari, Cagliari, Italy., Maggi E; 24Department of Experimental and Clinical Medicine and Center of Excellence for Research, Transfer and High Education DENOTHE of the University of Florence, Florence, Italy., Stingeni L; 5Section of Dermatology, Department of Medicine, University of Perugia, Perugia, Italy.
Jazyk: angličtina
Zdroj: Clinical and molecular allergy : CMA [Clin Mol Allergy] 2020 May 06; Vol. 18, pp. 8. Date of Electronic Publication: 2020 May 06 (Print Publication: 2020).
DOI: 10.1186/s12948-020-00123-8
Abstrakt: Background: Urticaria is a disorder affecting skin and mucosal tissues characterized by the occurrence of wheals, angioedema or both, the latter defining the urticaria-angioedema syndrome. It is estimated that 12-22% of the general population has suffered at least one subtype of urticaria during life, but only a small percentage (estimated at 7.6-16%) has acute urticaria, because it is usually self-limited and resolves spontaneously without requiring medical attention. This makes likely that its incidence is underestimated. The epidemiological data currently available on chronic urticaria in many cases are deeply discordant and not univocal, but a recent Italian study, based on the consultation of a national registry, reports a prevalence of chronic spontaneous urticaria of 0.02% to 0.4% and an incidence of 0.1-1.5 cases/1000 inhabitants/year.
Methods: We reviewed the recent international guidelines about urticaria and we described a methodologic approach based on classification, pathophysiology, impact on quality of life, diagnosis and prognosis, differential diagnosis and management of all the types of urticaria.
Conclusions: The aim of the present document from the Italian Society of Allergology, Asthma and Clinical Immunology (SIAAIC) and the Italian Society of Allergological, Occupational and Environmental Dermatology (SIDAPA) is to provide updated information to all physicians involved in diagnosis and management of urticaria and angioedema.
Competing Interests: Competing interestsThe authors declare that they have no competing interests.
(© The Author(s) 2020.)
Databáze: MEDLINE
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