Indian Journal of Dermatology
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REVIEW ARTICLE
Year : 2018  |  Volume : 63  |  Issue : 1  |  Page : 2-15

Consensus statement for the diagnosis and treatment of urticaria: A 2017 update


1 Department of Dermatology, D Y Patil Hospital, Navi Mumbai, Maharastra, India
2 Department of Dermatology, Calcutta National Medical College, Kolkata, West Bengal, India
3 Department of Dermatology, Skin Diseases Center, Nashik, India
4 Department of Dermatology, BJ Medical College, Ahmedabad, Gujarat, India
5 Department of Dermatology, Max Super Speciality Hospital, New Delhi, India
6 Department of Dermatology, Apollo Hospital, Chennai, Tamil Nadu, India
7 Department of Dermatology, Krupa Shankar Skin Care Center, Mallige Hospital, Bengaluru, Karnataka, India

Correspondence Address:
Dr. Abhishek De
Flat Number 3A, Arcadia1, Dream Park, Sonarpur Station Road, Kolkata - 700 103, West Bengal
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijd.IJD_308_17

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This article is developed by the Skin Allergy Research Society of India for an updated evidence-based consensus statement for the management of urticaria, with a special reference to the Indian context. This guideline includes updated definition, causes, classification, and management of urticaria. Urticaria has a profound impact on the quality of life and causes immense distress to patients, necessitating effective treatment. One approach to manage urticaria is by identification and elimination of the underlying cause(s) and/or eliciting trigger(s) while the second one is by treatment for providing symptomatic relief. This guideline recommends the use of second-generation nonsedating H1-antihistamines as the first-line treatment. The dose can be increased up to four times to meet the expected results. In case patients still do not respond, appropriate treatment options can be selected depending on the associated medical condition, severity of the symptoms, affordability of the drugs, and accessibility of modern biologics such as omalizumab.


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