Pediatric urticaria in the Emergency Department: epidemiological characteristics and predictive factors for its persistence in childrenV. Talarico firstname.lastname@example.org, G. L. Marseglia2, M. Lanari3, S. Esposito4, S. Masi5, M. De Filippo2, L. Gallelli6, A. Licari2, R. Lubrano7, S. Zampogna1, SIMEUP study groupShow more: Authors information and Publication history
Department of Pediatrics, Pugliese-Ciaccio Hospital of Catanzaro, Catanzaro, Italy2
Department of Pediatrics, Fondazione IRCCS Policlinico San Matteo, University of Pavia, Pavia, Italy3
Department of Pediatric Emergency, S. Orsola Hospital, Bologna, Italy4
Department of Medicine and Surgery, Pediatric Clinic, Pietro Barilla Children's Hospital, University of Parma, Parma, Italy5
Department of Pediatrics, Meyer Hospital and University of Firenze, Italy6
Department of Pharmacology, Magna Graecia University of Catanzaro, Catanzaro, Italy7
Department of Pediatrics, La Sapienza University of Rome, Hospital of Latina, Latina, ItalyHistory:
Published online: 22 February 2021
Accepted: 16 April 2020
Received: 29 February 2020
Acute urticaria (AU) in children is a common clinical manifestation responsible for admission to the emergency department (ED). We aimed to analyze the epidemiological characteristics of AU in children and to identify predictors of both severity and progression. Materials and methods.
We evaluated 314 children admitted to the ED with a diagnosis of AU. We analyzed information concerning its onset, duration, severity, possible triggering factors, and the persistence of symptoms after 1, 3, and 6 months. Results.
The most common etiological factors were infections (43.9%); in up to 32.4% ofcases, AU was considered as idiopathic. AU was significantly most common in males and pre-school children. At the 6-month follow-up, 9.5% of children presented a persistence of urticaria, mainly those with contact (44.4%) or idiopathic (30.4%) forms. Conclusions.
The AU etiology identified by history in the ED may be a significant predictor of persistence after a first attack of AU.
Acute urticaria; children; trigger factors; epidemiology; severity.
Cite article as:
Talarico V, Marseglia GL, Lanari M, Esposito S, Masi S, De Filippo M, Gallelli L, Licari A, Lubrano R, Zampogna S, SIMEUP study group, Pediatric urticaria in the Emergency Department: epidemiological characteristics and predictive factors for its persistence in children, Eur Ann Allergy Clin Immunol 2021;53(2):80-85. doi:10.23822/EurAnnACI.1764-1489.148.