Abstract
Solar urticaria is a rare form of physical urticaria usually occurring minutes after sun exposure. Angioedema might accompany the urticaria in severe cases. Treatment is difficult and often unsatisfactory. Here, we present a 6-year old child with severe solar urticaria and angioedema following short exposures to light despite continued combination therapy with high dose anti-histamines and leukotriene-receptor antagonists. As the child faced living in darkness unless an effective therapeutic remedy was found, we initiated omalizumab treatment with cautious dose elevation.
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