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Table 6 Treatment of chronic inducible urticaria

From: Urticaria: recommendations from the Italian Society of Allergology, Asthma and Clinical Immunology and the Italian Society of Allergological, Occupational and Environmental Dermatology

Kind of chronic inducible urticariaTreatment
Cold urticariaSGA, desensitization to cold by repeated controlled exposures, in selected cases anakinra or etanercept
Heat urticariaSGA, possibly associated with H2 antihistamines, omalizumab, desentitization to heat by repeated controlled exposures
Sunlight urticariaPhotoprotective clothing, use of sunscreens, desensitization to UV rays by phototherapy (UVB or UVA), SGA, omalizumab, ciclosporin, intravenous immunoglobulins, afamelanotide
Vibratory angioedemaSGA, avoidance of vibratory stimulus.
Pressure urticariaSGA, antileukotrienes (possibly in combination), omalizumab
Colinergic urticariaSGA, omalizumab, scopolamine, danazole
Contact urticariaSGA, avoidance of the causative agent
DermographismSGA up to four daily, omalizumab, ciclosporin
Aquagenic urticariaSGA, better result if associated with PUVA, barrier creams
  1. SGA second generation antihistamines, UV ultra-violet