Abstract
Urticaria is a frequent disease in childhood, which almost every child had. Usually, the presence of distinct urticaria
 does not present difficulties in nosological diagnosis, but many factors in account for its development cause challenge
 for doctors in choosing tactics for therapy. Traditionally the triggers of urticaria in children are food allergens and
 drugs, and that is why pediatricians unreasonably eliminate many foods from the baby’s nutrition for a long time. We
 analyzed the causes of acute and chronic urticaria in children hospitalized in the department of pediatrics over the
 ten-year period. In acute urticaria, in most cases, triggers were food (46.7 % children) and drugs (22.5 % children), in
 children with chronic urticaria, food was the cause of rashes only in 20 % of cases, and the infectious etiology of the
 disease was confirmed in 8 children. In almost a half of children with chronic urticaria the cause of the rash was not
 established. Based on the research, recommendations for the examination of patients with this pathology are suggest-
 ed. Except for testing for food allergens and drugs, the diagnostic protocol of a patient with chronic urticaria should
 include the laboratory tests for infectious agents, as well as conducting fibrogastroduodenoscopy with biopsy of the
 gastric mucosa according to indications.
Highlights
Крапивница – частое заболевание в детском возрасте, которое переносит практически каждый ребёнок
Urticaria is a frequent disease in childhood, which almost every child had
We analyzed the causes of acute and chronic urticaria in children hospitalized in the department of pediatrics over the ten-year period
Summary
Крапивница – частое заболевание в детском возрасте, которое переносит практически каждый ребёнок. Обычно наличие характерных уртикарий не представляет трудностей в нозологической диагностике, но множество факторов, обуславливающих его развитие, вызывает сложности у врачей в подборе тактики терапии. Традиционно в педиатрии причинами крапивницы считают пищевые аллергены и лекарственные препараты, необоснованно на длительное время исключая из питания ребёнка многие продукты. Нами проведён анализ причин острой и хронической крапивницы у детей, госпитализированных в отделение педиатрии, за десятилетний период. При острой крапивнице в большинстве случаев триггерами были продукты (46,7 %) и лекарства (22,5 %), при хронической крапивнице пища была причиной высыпаний только в 20 % случаев, а у 8 детей подтверждена инфекционная этиология уртикарий. На основании исследования предложены рекомендации по обследованию пациентов с данной патологией, а именно: включение в диагностический протокол пациента с хронической крапивницей лабораторных тестов на инфекционные агенты, а также проведение по показаниям фиброгастродуоденоскопии с биопсией слизистой желудка
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
