Discrepancies in the Management of Acquired Cold Contact Urticaria: Results of a French-speaking Urticaria Experts Questionnaire Survey - Sorbonne Université
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.
Fichier principal
Vignette du fichier
PIIS1939455122000643.pdf (194.74 Ko) Télécharger le fichier
Origin Publication funded by an institution
Licence

Dates and versions

hal-03849928 , version 1 (15-11-2022)

Licence

Identifiers

Cite

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⟩
34 View
63 Download

Altmetric

Share

More