Urticaria Not Associated with Anaphylaxis, Management in Children, Paediatrics

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Urticaria refers to erythematous skin lesions, which may be raised (wheals) with flat/macular erythematous edges (flares). The wheal may be white in the centre. Angioedema describes swelling usually, but not always, in combination with urticaria elsewhere. Urticaria is usually immune mediated, but allergy is not the most common cause. Type 1 (IgE mediated) allergy is usually associated with other additional symptoms, such as mouth, tongue or throat itch (if food allergy), swelling, vomiting, breathing difficulty, and rarely, anaphylaxis. 

Anaphylaxis is a medical emergency and requires immediate treatment. 

NOTE: this guideline is hosted on the NHSGGC Paediatrics Guidelines website. Clicking on the link below will open the guideline in a new window.


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