TY - JOUR
T1 - Urticaria, Urticarial Vasculitis, Angioedema, and Related Diseases
AU - Anderson, Mary
AU - Chu, Tina
AU - Mauskar, Melissa M.
N1 - Publisher Copyright:
© 2018, Springer Science+Business Media, LLC, part of Springer Nature.
PY - 2018/9/1
Y1 - 2018/9/1
N2 - Purpose of Review: Dermatologists are frequently called to evaluate patients with urticaria in the emergency room, urgent care clinics, and hospitals. Many acute urticarial eruptions will resolve without long-term sequelae; however, there are red flags that clinicians must be aware of. Recent Findings: First-line treatment for acute urticaria is regular dose H1 antagonists; however, the dose can be increased up to fourfold for refractory disease. Short courses of corticosteroids should be avoided as rebound urticaria is common upon discontinuation. Urticarial vasculitis presents with persistent, atypical urticaria, burning, and residual lesions. The most common extra-cutaneous manifestation of urticarial vasculitis is musculoskeletal involvement. Schnitzler syndrome is a rare, severe condition but new evidence provides promise for use of biologic therapies. Summary: Acute spontaneous urticarial eruptions are commonly encountered in hospitalized patients. This review provides readers with the tools needed to delineate benign eruptions from more concerning conditions.
AB - Purpose of Review: Dermatologists are frequently called to evaluate patients with urticaria in the emergency room, urgent care clinics, and hospitals. Many acute urticarial eruptions will resolve without long-term sequelae; however, there are red flags that clinicians must be aware of. Recent Findings: First-line treatment for acute urticaria is regular dose H1 antagonists; however, the dose can be increased up to fourfold for refractory disease. Short courses of corticosteroids should be avoided as rebound urticaria is common upon discontinuation. Urticarial vasculitis presents with persistent, atypical urticaria, burning, and residual lesions. The most common extra-cutaneous manifestation of urticarial vasculitis is musculoskeletal involvement. Schnitzler syndrome is a rare, severe condition but new evidence provides promise for use of biologic therapies. Summary: Acute spontaneous urticarial eruptions are commonly encountered in hospitalized patients. This review provides readers with the tools needed to delineate benign eruptions from more concerning conditions.
KW - Angioedema
KW - Hypocomplementemic urticarial vasculitis
KW - Hypocomplementemic urticarial vasculitis syndrome
KW - Urticaria
KW - Urticarial vasculitis
UR - http://www.scopus.com/inward/record.url?scp=85069329941&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85069329941&partnerID=8YFLogxK
U2 - 10.1007/s13671-018-0223-z
DO - 10.1007/s13671-018-0223-z
M3 - Review article
AN - SCOPUS:85069329941
SN - 2162-4933
VL - 7
SP - 190
EP - 197
JO - Current Dermatology Reports
JF - Current Dermatology Reports
IS - 3
ER -