Педиатрическая фармакология (Nov 2023)
Modern Approaches to the Management of Patients with Urticaria
- Aleksander A. Baranov,
- Leyla S. Namazova-Baranova,
- Natalya I. Il’ina,
- Alexey A. Kubanov,
- Elena R. Araviyskaya,
- Natalya G. Astafieva,
- Vitaliy T. Bazaev,
- Elena Yu. Borzova,
- Elena A. Vishneva,
- Yulia A. Gallyamova,
- Inna V. Danilycheva,
- Olga G. Elisyutina,
- Ludmila F. Znamenskaya,
- Vera G. Kalugina,
- Arphenya E. Karamova,
- Yulia G. Levina,
- Raisa Ya. Meshkova,
- Olga Yu. Olisova,
- Gennadiy A. Novik,
- Alexey V. Samtsov,
- Liliia R. Selimzyanova,
- Evgeniy V. Sokolovsky,
- Elena S. Fedenko,
- Olga S. Fedorova,
- Daria S. Fomina,
- Vladislav R. Khayrutdinov,
- Vadim V. Chikin,
- Andrey E. Shulzhenko
Affiliations
- Aleksander A. Baranov
- Pediatrics and Child Health Research Institute in Petrovsky National Research Centre of Surgery; Sechenov First Moscow State Medical University
- Leyla S. Namazova-Baranova
- Pediatrics and Child Health Research Institute in Petrovsky National Research Centre of Surgery; Pirogov Russian National Research Medical University
- Natalya I. Il’ina
- NRC Institute of Immunology
- Alexey A. Kubanov
- State Scientific Center for Dermatovenerology and Cosmetology
- Elena R. Araviyskaya
- Pavlov First Saint Petersburg State Medical University
- Natalya G. Astafieva
- Saratov State Medical University named after V. I. Razumovsky
- Vitaliy T. Bazaev
- North Ossetian State Medical Academy
- Elena Yu. Borzova
- Sechenov First Moscow State Medical University; Veltischev Research and Clinical Institute for Pediatrics and Pediatric Surgery of the Pirogov Russian National Research Medical University
- Elena A. Vishneva
- Pediatrics and Child Health Research Institute in Petrovsky National Research Centre of Surgery; Pirogov Russian National Research Medical University
- Yulia A. Gallyamova
- Russian Medical Academy of Continuing Professional Education
- Inna V. Danilycheva
- NRC Institute of Immunology
- Olga G. Elisyutina
- NRC Institute of Immunology
- Ludmila F. Znamenskaya
- State Scientific Center for Dermatovenerology and Cosmetology
- Vera G. Kalugina
- Pediatrics and Child Health Research Institute in Petrovsky National Research Centre of Surgery
- Arphenya E. Karamova
- State Scientific Center for Dermatovenerology and Cosmetology
- Yulia G. Levina
- Pediatrics and Child Health Research Institute in Petrovsky National Research Centre of Surgery; Pirogov Russian National Research Medical University
- Raisa Ya. Meshkova
- Smolensk State University
- Olga Yu. Olisova
- Sechenov First Moscow State Medical University
- Gennadiy A. Novik
- Saint Petersburg State Pediatric Medical University
- Alexey V. Samtsov
- Military Medical Academy named after S. M. Kirov
- Liliia R. Selimzyanova
- Pediatrics and Child Health Research Institute in Petrovsky National Research Centre of Surgery; Sechenov First Moscow State Medical University; Pirogov Russian National Research Medical University
- Evgeniy V. Sokolovsky
- Pavlov First Saint Petersburg State Medical University
- Elena S. Fedenko
- NRC Institute of Immunology
- Olga S. Fedorova
- Siberian State Medical University
- Daria S. Fomina
- City Clinical Hospital No. 52 of Moscow Health Department
- Vladislav R. Khayrutdinov
- Military Medical Academy named after S. M. Kirov
- Vadim V. Chikin
- State Scientific Center for Dermatovenerology and Cosmetology
- Andrey E. Shulzhenko
- A.I. Yevdokimov Moscow State University of Medicine and Dentistry
- DOI
- https://doi.org/10.15690/pf.v20i5.2629
- Journal volume & issue
-
Vol. 20,
no. 5
pp. 454 – 477
Abstract
The Union of Pediatricians of Russia together with the Russian Association of Allergologists and Clinical Immunologists and the Russian Society of Dermatovenerologists and Cosmetologists have developed new clinical guidelines for the urticaria in adults and children. Urticaria is a common disease; its various clinical variants are diagnosed in 15–25% of people in the global population, and a quarter of all cases belongs to chronic urticaria. The prevalence of acute urticaria is 20%, and 2.1–6.7% in child population, whereas acute urticaria is more common in children than in adults. The prevalence of chronic urticaria in adults in the general population is 0.7 and 1.4%, and 1.1% in children under 15 years of age, according to the systematic review and meta-analysis, respectively. This article covers features of epidemiology, etiology, and pathogenesis of the disease with particular focus on differential diagnostic search. Guidelines on treatment and step-by-step therapy scheme (both based on principles of evidencebased medicine) for pediatric patients were presented. Clarification on the analysis of the therapy efficacy and the degree of disease activity was given.
Keywords