Urticaria Crónica:
Guía de Diagnóstico
Dr. Enrique Loayza
Dermatólogo y Dermatopatólogo
Hospital General Luis Vernaza
Guayaquil
Cambios
Nomenclatura y Clasificación
1. Saini SS. Chronic Spontaneous Urticaria. Etiology and Pathogenesis. Immunol
Allergy Clin North Am [Internet]. Elsevier Inc; 2014;34(1):33–52. Available from:
http://dx.doi.org/10.1016/j.iac.2013.09.012
1. Trevisonno J, Balram B, Netchiporouk E, Ben-shoshan M. Physical urticaria :
Review on classification , triggers and management with special focus on
prevalence including a meta-analysis. 2015;5481:1–6.
1. Perera E, Sinclair R. Evaluation , diagnosis and management of chronic
urticaria. 2014;43(9):621–5.
1. Perera E, Sinclair R. Evaluation , diagnosis and management of chronic
urticaria. 2014;43(9):621–5.
Primer Paso en Manejo de Urticaria
•Lo más efectivo es identificar y eliminar la causa.
•20% son urticarias físicas.
•72% de los casos son de causa desconocida.
•El restante son: por alimentos, vasculitis,
infecciones, contactantes, inhalantes, medicación,
embarazo.
Champion RH. Urticaria: then and now. Br J Dermatol. 1988;119(4):427-36.
Algoritmo Diagnóstico
1. Perera E, Sinclair R. Evaluation , diagnosis and management of chronic
urticaria. 2014;43(9):621–5.
Investigación
•Biometría y coproparasitario
•VSG
•ANA, C3, C4, inhibidor C1-esterasa
•Hepatitis B y C
•Helicobacter pylori
•Función tiroidea, anticuerpos antitiroideos
•Test de suero autólogo
•Biopsia cutánea
Chronic Urticaria
Author: Daniel J Hogan, MD; Chief Editor: William D James, MD
in MEDSCAPE
1. Perera E, Sinclair R. Evaluation , diagnosis and management of chronic
urticaria. 2014;43(9):621–5.
1. Saini SS. Chronic Spontaneous Urticaria. Etiology and Pathogenesis.
Immunol Allergy Clin North Am [Internet]. Elsevier Inc; 2014;34(1):33–52.
Available from: http://dx.doi.org/10.1016/j.iac.2013.09.012
1. Perera E, Sinclair R. Evaluation , diagnosis and management of chronic
urticaria. 2014;43(9):621–5.
1. Wu C-H, Ardern-Jones MR, Eren E, Venter C. An Observational Study of the
Diagnosis and Management of Chronic Urticaria in the UK. Int Arch Allergy
Immunol [Internet]. 2015;167(1):1–8. Available from: http://www.karger.com/?
doi=10.1159/000430442
1. Greenberger PA. Chronic urticaria: new management
options. World Allergy Organ J [Internet]. 2014;7(1):31.