Taiwanese dermatological association consensus for the definition, classification, diagnosis, and management of urticaria: A 2021 update

Yung Tsu Cho, Tom C. Chan, Chih Hung Lee, Wan Yi Chou, Pa Fan Hsiao, Yi Ju Chen, Po Yuan Wu, Che Wen Yang, Tsu Man Chiu, Yun Ting Chang, Wei Ming Wang, Chien Hui Hong, Wei Ting Tu, Yu Huei Huang, Tsen Fang Tsai, Cheng Che Lan, Chia Yu Chu*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Urticaria is a prevalent disease with substantial physical, psychological, and economic impacts. With the advent of understandings of the disease and the emerging evidence of treatments, the international guidelines for treating urticaria have been updated in recent years. In order to update the 2014 edition of the Taiwanese Dermatological Association (TDA) consensus of urticaria, a total of 17 dermatologists with extensive experience in urticaria management were invited to and attended the TDA consensus meetings. All the specific aspects of the content were approved by at least 75% of the experts in attendance. Comparing to the former edition, several substantial modifications were made. For diagnosis, D-dimer was added as the recommended routine test in patients with chronic spontaneous urticaria. For pharmacological management, treatment suggestions were simplified. The approved-dosed, the up-dosed second-generation antihistamines, omalizumab, and cyclosporine were listed as the first-line to the fourth-line treatment, respectively. In addition, the management for patients of special considerations, such as the elderly, children, and pregnant women, were all discussed and mentioned in the consensus. We hope the updated TDA consensus can serve as a reference for all physicians and can help the physicians providing up-to-dated managements for these patients.

Original languageEnglish
Pages (from-to)1191-1203
Number of pages13
JournalJournal of the Formosan Medical Association
Volume121
Issue number7
DOIs
StatePublished - Jul 2022

Keywords

  • Consensus
  • Definition
  • Diagnosis
  • Treatment
  • Urticaria

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