Discrepancies in the Management of Acquired Cold Contact Urticaria: Results of a French-speaking Urticaria Experts Questionnaire Survey - Sorbonne Université Access content directly
Journal Articles World Allergy Organization Journal Year : 2022

Discrepancies in the Management of Acquired Cold Contact Urticaria: Results of a French-speaking Urticaria Experts Questionnaire Survey

Marie-Sylvie Doutre
  • Function : Author

Abstract

Acquired cold contact urticaria (ACU) is a putatively serious condition, because of the risk of anaphylactic shock whenever patients are massively exposed to cold atmosphere/water, raising the question of the prescription of an "emergency kit" with oral antihistamines and epinephrine auto-injector. We performed an online survey to evaluate how French-speaking urticaria experts manage ACU. According to the 2016 consensus recommendations on chronic inducible urticarias, all the participants perform at least 1 of the available provocation tests and 84.2%, 77.8%, and 88.9% prescribe on-label use of second generation anti-H1 antihistamines (2GAH1) as a first line treatment, updosed 2GAH1 as a second line treatment, and omalizumab as a third line treatment, respectively. Interestingly, 44.4% of the practitioners always prescribe a continuous background treatment, versus 11.1% prescribing only on-demand therapy. Also, 11.7% of participants always prescribe an epinephrine auto-injector, 70.6% sometimes do, and 17.6% never do. Finally, 89.5% authorize swimming under strict conditions but 36.8% and 68.4% contra-indicate other water sports and occupational cold exposure, respectively.
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hal-03849928 , version 1 (15-11-2022)

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Aurélie Du-Thanh, Angèle Soria, Emmanuelle Amsler, Antoine Badaoui, Marie-Sylvie Doutre, et al.. Discrepancies in the Management of Acquired Cold Contact Urticaria: Results of a French-speaking Urticaria Experts Questionnaire Survey. World Allergy Organization Journal, 2022, 15 (9), pp.100688. ⟨10.1016/j.waojou.2022.100688⟩. ⟨hal-03849928⟩
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