Problemi correnti
Orticaria acuta post-infettiva
ACUTE URTICARIA IN RELATION TO INFECTIONS
MARIA PAOLA PILIA**, ROSANNA MENEGHETTI*, GIORGIO LONGO*
*UO di Allergologia, IRCCS “Burlo Garofolo”, Trieste
**Dipartimento di Pediatria, Clinica Maciotta, Cagliari
Dicembre 2007 - pagg. 647 -651
Abstract
Acute urticaria related to infections is a benign manifestation in children, especially in infancy
and early childhood. It typically happens at the same time or at the end of, or after, a viral infection.
The eruption is self-limited, and episodes usually resolve within some days or few
weeks; the presence of annular, polycyclic or geographic wheals are characteristic, and acral
and facial angioedema and dermatographism are frequently observed. It is a very common
disease; however, few reports concern this kind of urticaria and frequently they use different
definitions as “acute annular urticaria”, “urticaria multiforme”, “acute urticaria of infancy and
early childhood”, and more rarely as “infectious urticaria” or “urticaria in relation to infections”.
The aim of this study was to review the literature available and shortly define the main
clinical characteristics that differentiate this condition from other kinds of urticaria and from
other reactions that can be misdiagnosed with it. A correct diagnosis may prevent unwarranted
life-long dietary and drug restrictions and may reassure on the benign clinical course.
Parole chiave
Suggerite dall'AI
Classificazione MeSH
Bibliografia
1. Mortureux P, Léauté-Labrèze C, Legrain-Lifermann
V, Lamireau T, Sarlangue J, Taieb A.
Acute urticaria in infancy and early childhood.
Arch Dermatol 1998;134:319-23.
2. Kaplan AP. Urticaria and angioedema. In: Middleton E Jr, Reed CE, Ellis EF, et al. Allergy - Principles & Practice - Fifth edition. St. Louis, Missouri: Mosby, 1998:1104-122.
3. Bilbao A, Garcia JM, Pocheville I, et al. Round table: urticaria in relation to infections. Allergol Immunopathol 1999;27:73-85.
4. Voss MJ, O’Connell EJ, Hick JF, et al. Association of acute urticaria in children with respiratory tract infection. J Allergy Clin Immunol 1982;10:702-3.
5. Aoki T, Koijma M, Horiko T. Acute urticaria: history and natural course of 50 cases. J Dermatol 1994;21:73-7.
6. Kauppinen K, Juntunen K, Lanki H. Urticaria in children: retrospective evaluation and follow-up. Allergy 1984;39:469-72.
7. Schuller DE. Acute urticaria in children. Postgrad Med 1982;72:179-85.
8. Shuller DE, Elvey SM. Acute urticaria associated with streptococcal infection. Pediatrics 1980;65(3):592-6.
9. Shah KN, Honig PG, Yan AC. Urticaria multiforme: a case series and review of acute annular urticaria hypersensitivity syndromes in children. Pediatrics 2007;119:1177-83.
10. Tamayo-Sanchez L, Ruiz-Maldonado R, Laterza A. Acute annular urticaria in infants and children. Pediatr Dermatol 1997;14:231-4.
11. Rallis E, Balatsouras DG, Kouskoukis C, Verros C, Homsioglou E. Drug eruptions in children with ENT infections. Int J Pediatr Otorhinolaryngol 2006;70:53-57.
12. Abbas AK, Lichtman AH. Immediate Hypersensititivity, in Cellular and Molecular Immunology; Chapter 19: 432-452. Edi Saunders, Elsevier Science (USA), 2003.
13. Sakurai M, Oba M, Matsumoto K, et al. Acute infectious urticaria: clinical and laboratory analysis in ninetien patients. J Dermatol 2000; 27(2):87-93.
14. Graff-Lonnevig V, Hedlin G, Lindfors A. Penicillin allergy - a rare paediatric condition? Arch Dis Child 1988;63:1342-6.
15. Weiss M, Adkinson NF. Immediate hypersensitivity reactions to penicillin and related antibiotics. Clin Allergy 1988;18:515.
6. Legrain V, Taieb A, Sage T, et al. Urticaria in infants: a study of 40 patients. Pediatr Dermatol 1990;7:101-7.
17. Boussetta K, Ponvert C, Karila C, Bourgeois ML, Blic J, Scheinmann P. Hypersensitivity reactions to paracetamol in children: a study of 25 cases. Allergy 2005;60:1174-7.
18. Ponvent C, Scheinmann P. Allergic and pseudoallergic reactions to analgesics, antipyretics and non steroidal anti-inflammatory drugs. Arch Pediatr 2007;14:507-12.
19. Sturkenboom M, Nicolosi A, Cantarutti L, et al. Incidence of mucocutaneous reactions in children treated with niflumic acid, other non steroidal anti-inflammatory drugs, or nonopioid analgesics. Pediatrics 2005;116(1): e26-e33.
20. Menniti-Ippolito F, Scagliocca L, Da Cas R, et al. Niflumic acid and cutaneous reactions in children. Arch Dis Child 2001;84:430-1.
21. Menniti-Ippolito F, Traversa G, Da Cas R. Niflumic acid and mucocutaneous reactions. Pediatrics 2006;117:253-4.
2. Kaplan AP. Urticaria and angioedema. In: Middleton E Jr, Reed CE, Ellis EF, et al. Allergy - Principles & Practice - Fifth edition. St. Louis, Missouri: Mosby, 1998:1104-122.
3. Bilbao A, Garcia JM, Pocheville I, et al. Round table: urticaria in relation to infections. Allergol Immunopathol 1999;27:73-85.
4. Voss MJ, O’Connell EJ, Hick JF, et al. Association of acute urticaria in children with respiratory tract infection. J Allergy Clin Immunol 1982;10:702-3.
5. Aoki T, Koijma M, Horiko T. Acute urticaria: history and natural course of 50 cases. J Dermatol 1994;21:73-7.
6. Kauppinen K, Juntunen K, Lanki H. Urticaria in children: retrospective evaluation and follow-up. Allergy 1984;39:469-72.
7. Schuller DE. Acute urticaria in children. Postgrad Med 1982;72:179-85.
8. Shuller DE, Elvey SM. Acute urticaria associated with streptococcal infection. Pediatrics 1980;65(3):592-6.
9. Shah KN, Honig PG, Yan AC. Urticaria multiforme: a case series and review of acute annular urticaria hypersensitivity syndromes in children. Pediatrics 2007;119:1177-83.
10. Tamayo-Sanchez L, Ruiz-Maldonado R, Laterza A. Acute annular urticaria in infants and children. Pediatr Dermatol 1997;14:231-4.
11. Rallis E, Balatsouras DG, Kouskoukis C, Verros C, Homsioglou E. Drug eruptions in children with ENT infections. Int J Pediatr Otorhinolaryngol 2006;70:53-57.
12. Abbas AK, Lichtman AH. Immediate Hypersensititivity, in Cellular and Molecular Immunology; Chapter 19: 432-452. Edi Saunders, Elsevier Science (USA), 2003.
13. Sakurai M, Oba M, Matsumoto K, et al. Acute infectious urticaria: clinical and laboratory analysis in ninetien patients. J Dermatol 2000; 27(2):87-93.
14. Graff-Lonnevig V, Hedlin G, Lindfors A. Penicillin allergy - a rare paediatric condition? Arch Dis Child 1988;63:1342-6.
15. Weiss M, Adkinson NF. Immediate hypersensitivity reactions to penicillin and related antibiotics. Clin Allergy 1988;18:515.
6. Legrain V, Taieb A, Sage T, et al. Urticaria in infants: a study of 40 patients. Pediatr Dermatol 1990;7:101-7.
17. Boussetta K, Ponvert C, Karila C, Bourgeois ML, Blic J, Scheinmann P. Hypersensitivity reactions to paracetamol in children: a study of 25 cases. Allergy 2005;60:1174-7.
18. Ponvent C, Scheinmann P. Allergic and pseudoallergic reactions to analgesics, antipyretics and non steroidal anti-inflammatory drugs. Arch Pediatr 2007;14:507-12.
19. Sturkenboom M, Nicolosi A, Cantarutti L, et al. Incidence of mucocutaneous reactions in children treated with niflumic acid, other non steroidal anti-inflammatory drugs, or nonopioid analgesics. Pediatrics 2005;116(1): e26-e33.
20. Menniti-Ippolito F, Scagliocca L, Da Cas R, et al. Niflumic acid and cutaneous reactions in children. Arch Dis Child 2001;84:430-1.
21. Menniti-Ippolito F, Traversa G, Da Cas R. Niflumic acid and mucocutaneous reactions. Pediatrics 2006;117:253-4.
Corrispondenza: longog@burlo.trieste.it