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Indian J Dermatol. 2009 Jul;54(3):275-9. doi: 10.4103/0019-5154.55641.

Management of difficult urticaria.

Author information

  • 1Departments of Skin, Veneral Disease, and Leprosy, M.L.N. Medical College, Allahabad, UP, India.

Abstract

Chronic urticaria, a major health problem causing patient's distress, induces often physicians' dilemma while dealing with its etiology, investigations and management. Clinical approach of such cases should include apart from clinical history and physical examination laboratory investigations like routine blood test, thyroid profile, etc. as well as sometimes special test like autologous serum skin test. Management includes reassurance, avoidance of precipitating factors, treatment of underlying disorders, and non-pharmacological approach along with pharmacotherapy. First line drug therapy comprises non-sedative and sedative antihistamines, second line doxepin, nifedipine, leukotriene-inhibitors, sulfasalazine, etc. and third line cyclosporine, dapsone, colchicin, etc.

KEYWORDS:

Chronic idiopathic urticaria; difficult urticaria; urticaria

PMID:
20161863
[PubMed]
PMCID:
PMC2810698
Free PMC Article
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