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特殊人群中的慢性荨麻疹:儿科、妊娠和老年人。

Chronic Urticaria in Special Populations: Pediatric, Pregnancy, and the Elderly.

机构信息

Division of Rheumatology, Allergy, and Immunology, Department of Internal Medicine, University of Cincinnati College of Medicine, 231 Albert Sabin Way ML#563, Cincinnati, OH 45267, USA.

Division of Rheumatology, Allergy, and Immunology, Department of Internal Medicine, University of Cincinnati College of Medicine, 231 Albert Sabin Way ML#563, Cincinnati, OH 45267, USA.

出版信息

Immunol Allergy Clin North Am. 2024 Aug;44(3):469-481. doi: 10.1016/j.iac.2024.03.005. Epub 2024 May 18.

Abstract

Chronic urticaria is an inflammatory skin disorder defined by the presence of evanescent erythematous pruritic wheals, angioedema, or both. While treatment guidelines are continuing to become more clearly defined, there is still a gap in the medical literature surrounding chronic spontaneous urticaria (CSU) treatment in vulnerable populations such as children (aged 0-18 years), pregnant women, and the elderly (aged >65 years). The purpose of this review is to provide an update on CSU in each of these special population categories by defining prevalence, identifying diagnostic considerations, and exploring current and future management options.

摘要

慢性荨麻疹是一种炎症性皮肤病,其特征为短暂性红斑伴瘙痒风团、血管性水肿或两者兼有。尽管治疗指南不断得到更明确的定义,但在儿童(0-18 岁)、孕妇和老年人(>65 岁)等弱势群体的慢性自发性荨麻疹(CSU)治疗方面,医学文献仍存在空白。本综述的目的是通过定义患病率、确定诊断注意事项以及探讨当前和未来的管理选择,为这三个特殊人群类别的 CSU 提供最新信息。

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