THE ROLE OF INFECTIOUS FACTORS IN THE CAUSE OF ACUTE URTICARIA IN CHILDREN
DOI:
https://doi.org/10.11603/24116-4944.2022.1.13253Keywords:
infectious factors, urticarial, childrenAbstract
The aim of the study – to monitor the influence of acute infectious diseases on the appearance of acute urticaria in childhood.
Materials and methods. An in-depth retrospective analysis of the clinical picture of acute urticaria (AU) in 81 children was conducted. The diagnosis of AU was based mainly on the anamnesis, clinical examination of the child (the appearance of blisters (hives), angioedema or their combination, pruritus are typical), which corresponds to the international consensus. Particular attention was paid to the possible connection between the manifestations of AU and the influence of various factors (infectious diseases, the use of medications, food products).
Results and Discussion. 79.01 % of children had AU for the first time in their lives. Children of the first three years of life significantly predominated among the patients (45.68 %, n=37). In 43.21 % of patients, a connection with an acute infectious process was established, while viral pathogens significantly prevailed (62.85 %), much less often urticaria was observed against the background of a bacterial or parasitic infection. In the examined group, the use of medications (antibiotics, non-steroidal anti-inflammatory drugs) and the use of food products were not significant.
Conclusions. In the group of examined patients, the significant role of the infectious process in the provocation of AU was observed, while the identified viral pathogens (influenza, parainfluenza, respiratory syncytial virus, adenovirus, Epstein-Barr virus) significantly prevailed. We had analysed the results of clinical examination and laboratory methods and due to this we made the conclusion that in 43.21 % of patients AU was related to infectious factors, in 27.16 % it was idiopathic; the rest of the children needed additional examination by an allergist.
References
Talarico, V.S., Marseglia, G., & Lanari, M. (2021). Pediatric urticaria in the Emergency Department: epidemiological characteristics and predictive factors for its persistence in children. Eur. Ann. Allergy Clin. Immunol., 2 (53), 80-85.
Banadyha, N.V., & Nakonechna, A.A. (2022). Klinichni aspekty hostroi kropyvianky u ditei v praktytsi pervynnoi ta vtorynnoi medychnoi dopomohy [Clinical aspects of acute urticaria in children in the practice of primary and secondary medical care]. Suchasna pediatriia. Ukraina – Modern Pediatrics. Ukraine, 1 (121), 11-17 [in Ukrainian].
Torsten, Zuberbier, Amir, Hamzah Abdul Latiff, &Mohamed, Abuzakouk [et al.]. (2021). The international EAACI/GA²LEN/EuroGuiDerm/APAAACI guideline for the definition, classification, diagnosis, and management of urticarial. Allergy, 77, 734-766.
The Royal Children’s Hospital Melburn (2018). Clinical Practice Guidelines. Urticaria. Retrieved from https://www.rch.org.au/clinicalguide/guideline_index/Urticaria
Schaefer, Р. (2017) Acute and chronic urticaria: Evaluation and treatment. American Family Physician, 95 (11), 717-724.
Nakonechna, A., & Banadyha, N. (2021). Hostra kropyvianka u ditei: kliuchovi pytannia klinichnoi praktyky [Acute urticaria in children: Key issues in clinical practice]. Pediatriya. Vostochnaya Yevropa - Pediatrics. Eastern Europe, 9, 432-442 [in Russian].
Riccardo, Asero. New-onset urticarial Retrieved from https://uptodatefree.ir/topic.htm?path=new-onset-urticaria#H25448768
Nedyelska, S.M., Yartseva, D.O., & Kuznyetsova, O.D. (2020). Kropyvianka u ditei: osoblyvosti kliniky, trudnoshchi diahnostyky i pidboru terapii [Hurts in children: features of the clinic, difficulties of and selection of therapy]. Alerhiia u dytyny – Allergy in a Child, 25/26, 9-12 [in Ukrainian].
Imbalzano, E., Casciaro, M., & Quartuccio, S. (2016) Association between urticaria and virus infections: A systematic review. Allergy Asthma Proc., 37 (1), 18-22.
Marques-Mejías, M., Tomás-Pérez, M., & Vilà-Nadal, G. (2020). Acute urticaria in the pediatric emergency department. Annals of Allergy, Asthma & Immunology, 4 (124), 396-397.
Minasi, D., Manti S., & Chiera, F. (2020). Acute urticaria in the infant. Pediatric Allergy and Immunology, 26 (31), 49-51.
Minciullo, P.L., Cascio, A., Barberi, G., & Gangemi, S. (2014). Urticaria and bacterial infections. Allergy Asthma Proc, 35, 295.
Kudryavtseva, A.V., Neskorodova, K.A., & Staubach, P. (2019). Urticaria in children and adolescents: An updated review of the pathogenesis and management. Pediatr. Allergy Immunol., 30 (1), 17-24.
Cesar, Fireth Pozo-Beltrána & Désirée, Larenas-Linnemannb & Johanna, Danielle Cardoza Arteche (2021). CME suggestions for pediatricians, allergists, and dermatologists, directed by an online survey on urticaria knowledge. Allergol Immunopathol (Madr), 49 (1), 87-94.
Pier, J.,& Bingemann, Th. (2020). Urticaria, angioedema, and anaphylaxis. Pediatrics in Review, 6 (41), 283-292.
Khyts, A.R. (2021). Kropyvianka u ditei: etiolohiia, patohenez ta likuvannia [Urticaria in children: etiology, pathogenesis and treatment]. Ukrainskyi medychnyi chasopys – Ukrainian Medical Journal. Retrieved from https://www.umj.com.ua/article/209711/kropiv-yanka-u-ditej-etiologiya-patogenez-ta-likuvannya[in Ukrainian].
Mazur, M., Czarnobilska, M., & Czarnobilska, E. (2020). Prevalence and potential risk factors of urticaria in the Polish population of children and adolescents. Adv. Dermatol. Allergol., 5, 785-789.
Fiocchi, A., & Fierro, V. (2017) Food Allergy. Retrieved from https://www.worldallergy.org/education-and-programs/education/allergic-disease-resource-center/professionals/food-allergy
Jukkapekka, Jousimaa & Alexander, Salava (2019). Kropyvianka [Urticaria]. Dytiachyi likar – Children's Doctor, 3(66), 40-42[in Ukrainian].
Jeon, Y.H., & Lee, S., & Ahn, K. (2019). Infantile anaphylaxis in Korea: a multicenter retrospective case study. Journal of Korean Medical Science, 13 (34), 1-13.
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