Paediatric severe chronic spontaneous urticaria: Successful management through conventional drug therapy

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Abstract

Chronic spontaneous urticaria (CSU) can occur in children and the clinical management is quite challenging. Here, we described a paediatric clinical case of CSU successfully managed by conventional therapy, including systemic steroids, cetirizine, anti-leukotriene drug and dietary restriction (for histamine-releasing foods). This patient showed neither atopy nor any allergic sensitisation; moreover, the autologous serum skin test resulted negative. This category of patients with no comorbidity and no evidence of atopy might benefit from the conventional drug management; however, a protracted course of steroid treatment with very slow and gradual tapering may be needed. This approach was successful and safe in our clinical case, but a careful follow-up, due to the potential side effects of steroids, should be recommended.

Original languageEnglish
Article numbere230925
JournalBMJ Case Reports
Volume12
Issue number8
DOIs
Publication statusPublished - Aug 1 2019

Keywords

  • dermatology
  • medical management
  • paediatrics (drugs and medicines)

ASJC Scopus subject areas

  • Medicine(all)

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