Classification and Treatment of Urticaria: A Brief Review

Kjetil Kristoffer Guldbakke, MD; Amor Khachemoune, MD, CWS

Disclosures

Dermatology Nursing. 2005;17(5):361-364. 

In This Article

Non-Pharmacologic Therapy

Management of urticaria de pends on its cause. Aggravating factors should be identified from the history, and triggering stimuli for physical urticaria avoided. Simple cooling lotions, as 0.5% to 1% menthol in aqueous cream, are often useful. Aspirin and NSAIDs are generally avoided in favor of acetaminophen as an analgesic as they aggravate symptoms in 30% of patients (Grattan et al., 2002). Patients taking low-dose aspirin for its antithrombotic properties can usually continue regular treatment. It is also good practice to recommend avoiding codeine and other opiates in view of the enhanced skin test reactions to codeine found in chronic urticaria. The role of avoiding dietary pseudoallergens including food colors and natural salicylates is controversial, but generally has no role unless proven by a double-blind, placebo-controlled challenge (Grattan et al., 2002).

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