Rational Approach to the Patient Presenting with Chronic Urticaria

Abstract Chronic urticaria is less common in children than adults. Chronic urticaria, is grouped under two main headings as chronic spontaneous urticaria and chronic inducible urticaria. The first step in treatment is to avoid trigger factors. The most commonlyused drugs in medical treatment are second-generation antihistamines. If there is noresponse to antihistamine treatment, the dose should be increased. If no response isobtained, additional treatment options such as omalizumab and cyclosporin A should be considered. Chronic urticaria diagnosis and treatment approach are describedbased on a case diagnosed chronic urticaria in this article