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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 urticaria

Treatment

Cold urticaria

SGA, desensitization to cold by repeated controlled exposures, in selected cases anakinra or etanercept

Heat urticaria

SGA, possibly associated with H2 antihistamines, omalizumab, desentitization to heat by repeated controlled exposures

Sunlight urticaria

Photoprotective clothing, use of sunscreens, desensitization to UV rays by phototherapy (UVB or UVA), SGA, omalizumab, ciclosporin, intravenous immunoglobulins, afamelanotide

Vibratory angioedema

SGA, avoidance of vibratory stimulus.

Pressure urticaria

SGA, antileukotrienes (possibly in combination), omalizumab

Colinergic urticaria

SGA, omalizumab, scopolamine, danazole

Contact urticaria

SGA, avoidance of the causative agent

Dermographism

SGA up to four daily, omalizumab, ciclosporin

Aquagenic urticaria

SGA, better result if associated with PUVA, barrier creams

  1. SGA second generation antihistamines, UV ultra-violet