Predictive factors of the duration of a first-attack acute urticaria in children - 01/10/11

Doi : 10.1016/j.ajem.2010.04.004

Yan-Ren Lin, MD ^a,^c, Tzu-Hsuan Liu, MD ^b, Tung-Kung Wu, PhD ^c, Yu-Jun Chang, MS ^d,^e, Chu-Chung Chou, MD, PhD ^a,^f, Han-Ping Wu, MD, MS ^g,^h,^{^⁎}
^a Department of Emergency Medicine, Changhua Christian Hospital, 50006 Changhua, Taiwan
^b Department of Dermatology, Changhua Christian Hospital, 50006 Changhua, Taiwan
^c Department of Biological Science and Technology and Institute of Biochemical Engineering, National Chiao Tung University, 30010 Hsinchu, Taiwan
^d Epidemiology and Biostatistics Center, Changhua Christian Hospital, Changhua, Taiwan
^e Institute of Environmental Medicine, China Medical University, 40402 Taichung, Taiwan
^f Institute of Medicine, Chungshan Medical University, 40201 Taichung, Taiwan
^g Institute of Clinical Medicine, National Yang-Ming University, 11299 Taipei, Taiwan
^h Department of Pediatrics, Buddhist Tzu Chi General Hospital, Taichung Branch 42743, Taichung, Taiwan

^⁎Corresponding author. Department of Pediatrics, Buddhist Tzu Chi General Hospital, Taichung Branch, Taichung, Taichung County 42743, Taiwan. Tel.: +886 4 36060666; fax: +886 4 36021123.

Abstract

Purposes

This study's aim was to determine the predictive factors of the duration of first-attack acute urticaria in children.

Basic Procedures

The sample included 1075 children admitted to the emergency department with first-attack acute urticaria. Variables comprising the clinical features and past histories of children with duration of disease of 3 days or less, 4 to 7 days, 8 to 14 days, and 15 days or more were compared to determine the predictors of duration of acute urticaria.

Main Findings

Age, various etiologies, clinical presentations, coexistent pyrexia or angioedema, and personal histories of allergic diseases were significant factors (all P < .05). Among allergic diseases, atopic dermatitis was the most significant predictor of duration of acute urticaria, and those with multiple allergic diseases had longer durations of urticaria (both P < .05). Oral plus injection forms of antihistamine or steroid were related to shorter duration of disease (P < .05).

Principal Conclusions

Etiologies and personal allergy history may be the most important predictors of the duration of a first attack of acute urticaria.

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Plan

Introduction

Materials and methods

Demographics, etiologies, and treatments

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Vol 29 - N° 8

P. 883-889 - octobre 2011 Retour au numéro

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Predictive factors of the duration of a first-attack acute urticaria in children - 01/10/11

Abstract

Purposes

Basic Procedures

Main Findings

Principal Conclusions

Plan

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