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Refractory Urticaria Over Exposed Areas

  • Federica PorcaroEmail author
  • Lucia Caminiti
  • Stefania Arasi
  • Giovanni Battista Pajno
Chapter

Practical Points

  • We describe the case of a girl affected by solar urticaria induced by visible light.

  • Although light provocation test is difficult to perform, it is essential for the correct diagnosis and management of solar urticaria

  • Avoidance of sunlight exposure and antihistamines are the mainstay of treatment in children with solar urticaria

  • Short-term use of oral steroids should be reserved for disease flares

  • Third line therapy, e.g. omalizumab, should be considered only in patients with solar urticaria refractory to conventional treatment.

Keywords

Solar urticaria Omalizumab H1-antihistamine Leukotriene receptor antagonists 

References

  1. 1.
    Arasi S, Crisafulli G, Caminiti L, Guarneri F, Aversa T, Porcaro F, Pajno GB. Treatment with omalizumab in a 16-year-old Caucasian girl with refractory solar urticaria. Pediatr Allergy Immunol. 2015;26(6):583–5.CrossRefGoogle Scholar
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    De Argila D, Aguilera J, Sanchez J, Garcia-Diez A. Study of idiopathic, exogenous photodermatoses, part II: photobiologic testing. Acta Dermo-sifiliogr. 2014;105(3):233–42.CrossRefGoogle Scholar
  3. 3.
    Powell RJ, Du Toit GL, Siddique N, Leech SC, Dixon TA, Clark AT, Mirakian R, Walker SM, Huber PA, Nasser SM. BSACI guidelines for the management of chronic urticaria and angio-oedema. Clin Exp Allergy. 2007;37(5):631–50.CrossRefGoogle Scholar
  4. 4.
    Botto NC, Warshaw EM. Solar urticaria. J Am Acad Dermatol. 2008;59(6):909–20. quiz 21-2CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Federica Porcaro
    • 1
    Email author
  • Lucia Caminiti
    • 2
  • Stefania Arasi
    • 2
  • Giovanni Battista Pajno
    • 2
  1. 1.Respiratory Unit, Academic Department of Pediatrics, Bambino Gesù Children’s HospitalIRCCSRomeItaly
  2. 2.Allergy Unit, Department of PediatricsUniversity of MessinaMessinaItaly

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