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Dermatology Research and Practice
Volume 2013 (2013), Article ID 651737, 8 pages
http://dx.doi.org/10.1155/2013/651737
Review Article

Chronic Urticaria: Indian Context—Challenges and Treatment Options

1Consultant Allergist & Immunologist, Department of Allergy & Immunology, Apollo Gleneagles Hospital, 58 Canal Circular Road, Kolkata, West Bengal 700 054, India
2Department of Paediatric Pulmonology, Vision Care Hospital, Mukundapur, Kolkata West Bengal 700099, India
3Department of Allergy, Immunology and Arthritis, Apollo Hospitals International Ltd., Bhat GIDC, Gandhinagar, Ahmedabad, Gujarat 382428, India
4Dr. Niphadkar’s Asthma and Allergy Health Clinic, Hindu Colony Lane No. 1, Dadar (East), Mumbai 400 014, India
5Department of Pulmonary Medicine, JSS Medical College, JSS University, Mysore, Karnataka 570 004, India
6Department of Medicine, Indraprastha Apollo Hospital, Mathura Road, Jasola Vihar, New Delhi 110076, India
7Clinical Marketing Manager, Phadia/IDD, Thermo Fisher Scientific, Units No. 7, 10 & 11, Splendor Forum, Plot No. 3, Disttrict Centre, Jasola, New Delhi 110025, India

Received 11 July 2013; Accepted 20 August 2013

Academic Editor: Tadamichi Shimizu

Copyright © 2013 Sujoy Khan et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Urticaria is a common condition that occurs in both children and adults. Most cases have no specific allergic trigger and the aetiology of urticaria remains idiopathic and occasionally spontaneous in nature. Inappropriate advice such as avoidance of foods (milk, egg, prawn, and brinjal) is common place in certain sections of India mostly by nonspecialists that should not be routinely recommended. It is important to look for physical urticarias such as pressure urticaria in chronic cases, which may be present either alone or in combination with other causes. Autoimmune causes for chronic urticaria have been found to play an important role in a significant proportion of patients. Long-acting nonsedating antihistamines at higher than the standard doses is safe and effective. Quality of life is affected adversely in patients with chronic symptomatic urticaria and some may require multidisciplinary management.