RT Journal Article
SR Electronic
T1 Fifteen-minute consultation: Assessing the child with persistent urticaria
JF Archives of disease in childhood - Education & practice edition
JO Arch Dis Child Educ Pract Ed
FD BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health
SP 7
OP 12
DO 10.1136/archdischild-2018-315878
VO 105
IS 1
A1 Simon Jonathan Hardman
A1 Eleanor Minshall
YR 2020
UL http://ep.bmj.com/content/105/1/7.abstract
AB Chronic urticaria is the presence of wheals and/or angioedema, with daily or intermittent symptoms lasting more than 6 weeks. Although rarely life threatening, it can be a cause of significant embarrassment and misery. In most cases, no underlying factor is identified. It is therefore important to have a structured approach to the assessment in order to exclude important diagnoses, minimise costly screening tests and ensure a correct diagnosis is made. This article aims to highlight the importance of a focused history, provides a clear scheme for establishing a diagnosis and recommends when to perform appropriate investigations. A short discussion regarding treatment options and prognosis is also provided.