Allergy - 5: Allergy and the skin: eczema and chronic urticaria

Katelaris, C. H. and Peake, J. E. (2006) Allergy - 5: Allergy and the skin: eczema and chronic urticaria. Medical Journal of Australia, 185 9: 517-522.


Author Katelaris, C. H.
Peake, J. E.
Title Allergy - 5: Allergy and the skin: eczema and chronic urticaria
Journal name Medical Journal of Australia   Check publisher's open access policy
ISSN 0025-729X
Publication date 2006-11
Sub-type Article (original research)
Volume 185
Issue 9
Start page 517
End page 522
Total pages 6
Editor M. Van Der Weyden
Place of publication Strawberry Hills, Australia
Publisher Australasian Medical Publishing Co
Collection year 2006
Language eng
Subject C1
320201 Allergy
320503 Clinical Pharmacology and Therapeutics
321002 Dermatology
730102 Immune system and allergy
730117 Skin and related disorders
Abstract Eczema is common, occurring in 15%-20% of infants and young children. For some infants it can be a severe chronic illness with a major impact on the child's general health and on the family. A minority of children will continue to have eczema as adults. The exact cause of eczema is not clear, but precipitating or aggravating factors may include food allergens (most commonly, egg) or environmental allergens/irritants, climatic conditions, stress. and genetic predisposition. Management of eczema consists of education; avoidance of triggers and allergens; liberal use of emollients or topical steroids to control inflammation; use of antihistamines to reduce itch; and treatment of infection if present. Treatment with systemic agents may be required in severe cases, but must be supervised by an immunologist. Urticaria (hives) may affect up to a quarter of people at some time in their lives. Acute urticaria is more common in children, while chronic urticaria is more common in adults. Chronic urticaria is not life-threatening, but the associated pruritus and unsightly weals can cause patients much distress and significantly affect their daily lives. Angioedema coexists with urticaria in about 50% of patients. It typically affects the lips, eyelids, palms, soles and genitalia. Management of urticaria is through education; avoidance of triggers and allergens (where relevant); use of antihistamines to reduce itch; and short-term use of corticosteroids when antihistamine therapy is ineffective. Referral is indicated for patients with resistant disease.
Keyword Medicine, General & Internal
Chronic Idiopathic Urticaria
Randomized Controlled-trial
Atopic-dermatitis
Double-blind
Food Hypersensitivity
Thyroid Autoimmunity
Helicobacter-pylori
Children
Impact
Montelukast
Q-Index Code C1

Document type: Journal Article
Sub-type: Article (original research)
Collections: Excellence in Research Australia (ERA) - Collection
2007 Higher Education Research Data Collection
School of Medicine Publications
 
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Created: Wed, 15 Aug 2007, 09:59:32 EST