Zitelli Kristine B, Cordoro Kelly M
Psoriasis Treatment Center.
Departments of Dermatology.
Pediatr Dermatol. 2011 Nov-Dec;28(6):629-639. doi: 10.1111/j.1525-1470.2011.01518.x. Epub 2011 Oct 4.
Urticaria affects nearly 25% of the population at some time in their lives. In a subset of children, urticaria will develop into a chronic condition that can greatly affect quality of life. Although numerous causes and triggers are proposed for chronic urticaria (CU) in children, ranging from infections, allergens, and medications to physical factors and autoimmune disease, the exact etiology is not always identifiable. Accordingly, a large subset of cases are designated "chronic idiopathic urticaria." Because of the clinical complexities of CU, as well as the confusing literature on this topic, we have developed a conceptual framework based on the cumulative evidence to assist with the categorization, clinical evaluation, and treatment of CU in children.
荨麻疹在一生中的某些时候会影响近25%的人群。在一部分儿童中，荨麻疹会发展成一种慢性疾病，严重影响生活质量。尽管针对儿童慢性荨麻疹（CU）提出了许多病因和触发因素，从感染、过敏原、药物到物理因素和自身免疫性疾病，但确切病因并不总是能够确定。因此，很大一部分病例被归类为“慢性特发性荨麻疹”。由于CU的临床复杂性以及关于该主题的文献令人困惑，我们基于累积证据制定了一个概念框架，以协助对儿童CU进行分类、临床评估和治疗。
