Carlo Mastrorilli
Clinica Pediatrica, Dipartimento di Medicina e Chirurgia, Azienda Ospedaliero-Universitaria, Università di Parma, Italy
Roberto Bernardini
Pediatric Unit, “San Giuseppe” Hospital, Empoli, Italy
Lucia Liotti
Department of Pediatrics, Senigallia Hospital, Senigallia, Italy
Fabrizio Franceschini
UOC Pediatria, Azienda Ospedaliero-Universitaria “Ospedali Riuniti”, Ancona, Italy
Giuseppe Crisafulli
UO Allergologia, Dipartimento di Pediatria, Università di Messina, Italy
Silvia Caimmi
Pediatric Clinic, Foundation IRCCS Policlinico San Matteo, University of Pavia, Pavia, Italy
Paolo Bottau
Pediatric and Neonatology Unit, Imola Hospital, Imola (BO), Italy
Francesca Mori
Allergy Unit, Department of Pediatric Medicine, Anna Meyer Children’s University Hospital, Florence, Italy
Fabio Cardinale
UOC di Pediatria, Azienda Ospedaliera-Universitaria “Consorziale-Policlinico”, Ospedale Pediatrico Giovanni XXIII, Bari, Italy
Francesca Saretta
Pediatric Department, AAS2 Bassa Friulana-Isontina, Palmanova-Latisana, Italy; Pediatric Allergy Unit, Department of Medicine, Udine, Italy
Giovanni Simeone
Primary care Pediatrician, Local Health Unit of Brindisi, Brindisi, Italy
Marcello Bergamini
Generalist Pediatrician, Local Health Unit of Ferrara, Ferrara, Italy
Carlo Caffarelli
Clinica Pediatrica, Dipartimento di Medicina e Chirurgia, Azienda Ospedaliero-Universitaria, Università di Parma, Italy
Keywords
drug hypersensitivity reactions, children, urticaria, skin test, specific IgE, basophil activation test, drug provocation test
Abstract
The cause of chronic urticaria remains often elusive. The association between chronic urticaria and intake of medications have been reported in children. However, the causative role of drugs has been rarely ascertained by onset of symptoms on drug provocation test. Chronic urticaria can be mediated by immunologic and nonimmunologic mechanisms. The diagnostic work-up of chronic urticaria includes a comprehensive evaluation of triggering factors such as drugs. A diagnosis is necessary in order to permit a safely administration of drugs in children with chronic urticaria.
Abstract