Refractory Urticaria Over Exposed Areas

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

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.


Solar urticaria Omalizumab H1-antihistamine Leukotriene receptor antagonists 


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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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