Modern approaches to the treatment of chronic urticaria

The article provides modern definitions and classification of urticaria. The general provisions of the treatment of chronic urticaria, the treatment of which is often very difficult, are outlined. The main provisions of the treatment of urticaria were formulated, according to which the patient shoul...

Full description

Bibliographic Details
Main Author: Alexey V. Samtsov
Format: Article
Language:English
Published: State Scientific Center of Dermatovenereology and Cosmetology 2023-12-01
Series:Vestnik Dermatologii i Venerologii
Subjects:
Online Access:https://vestnikdv.ru/jour/article/viewFile/8896/pdf
_version_ 1797384577700855808
author Alexey V. Samtsov
author_facet Alexey V. Samtsov
author_sort Alexey V. Samtsov
collection DOAJ
description The article provides modern definitions and classification of urticaria. The general provisions of the treatment of chronic urticaria, the treatment of which is often very difficult, are outlined. The main provisions of the treatment of urticaria were formulated, according to which the patient should be treated until the rash is completely resolved. In chronic urticaria, it is necessary to identify and eliminate the causes of dermatosis; avoid exposure to identified triggers; increase tolerance; pharmacological treatment should be aimed at preventing the release of mast cell mediators and/or the effects of mast cell mediators. The goal of treatment should be to relieve the symptoms of urticaria as completely as possible, taking into account the safety and quality of life of the patient in each individual case. The importance of identifying and addressing underlying causes and avoiding identified triggers is emphasized. The therapy algorithm is considered in detail, including 4 lines according to the European guidelines and domestic clinical guidelines. Particular attention is paid to the treatment of various subtypes of chronic urticaria. A comparative description of the most effective antihistamines is given.
first_indexed 2024-03-08T21:37:37Z
format Article
id doaj.art-e8b758dd08d144afb9caa27bc0a0c769
institution Directory Open Access Journal
issn 0042-4609
2313-6294
language English
last_indexed 2024-03-08T21:37:37Z
publishDate 2023-12-01
publisher State Scientific Center of Dermatovenereology and Cosmetology
record_format Article
series Vestnik Dermatologii i Venerologii
spelling doaj.art-e8b758dd08d144afb9caa27bc0a0c7692023-12-20T21:29:14ZengState Scientific Center of Dermatovenereology and CosmetologyVestnik Dermatologii i Venerologii0042-46092313-62942023-12-01995222810.25208/vdv88961233Modern approaches to the treatment of chronic urticariaAlexey V. Samtsov0https://orcid.org/0000-0002-9458-0872S.M. Kirov Military Medical AcademyThe article provides modern definitions and classification of urticaria. The general provisions of the treatment of chronic urticaria, the treatment of which is often very difficult, are outlined. The main provisions of the treatment of urticaria were formulated, according to which the patient should be treated until the rash is completely resolved. In chronic urticaria, it is necessary to identify and eliminate the causes of dermatosis; avoid exposure to identified triggers; increase tolerance; pharmacological treatment should be aimed at preventing the release of mast cell mediators and/or the effects of mast cell mediators. The goal of treatment should be to relieve the symptoms of urticaria as completely as possible, taking into account the safety and quality of life of the patient in each individual case. The importance of identifying and addressing underlying causes and avoiding identified triggers is emphasized. The therapy algorithm is considered in detail, including 4 lines according to the European guidelines and domestic clinical guidelines. Particular attention is paid to the treatment of various subtypes of chronic urticaria. A comparative description of the most effective antihistamines is given.https://vestnikdv.ru/jour/article/viewFile/8896/pdfchronic urticariadiagnosticstreatment
spellingShingle Alexey V. Samtsov
Modern approaches to the treatment of chronic urticaria
Vestnik Dermatologii i Venerologii
chronic urticaria
diagnostics
treatment
title Modern approaches to the treatment of chronic urticaria
title_full Modern approaches to the treatment of chronic urticaria
title_fullStr Modern approaches to the treatment of chronic urticaria
title_full_unstemmed Modern approaches to the treatment of chronic urticaria
title_short Modern approaches to the treatment of chronic urticaria
title_sort modern approaches to the treatment of chronic urticaria
topic chronic urticaria
diagnostics
treatment
url https://vestnikdv.ru/jour/article/viewFile/8896/pdf
work_keys_str_mv AT alexeyvsamtsov modernapproachestothetreatmentofchronicurticaria