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Managing urticaria in the emergency department: recommendations of a multidisciplinary expert panel




Silvestre Salvador JF, Giménez-Arnau AM, Gómez de la Fuente E, González Del Castillo J, Martínez Virto AM, Miguens Blanco I, Serra-Baldrich E, Llorens P



Hospital General Universitario de Alicante, Alicante, Spain. Hospital del Mar. Parc de Salut Mar. Universitat Aut√≥noma de Barcelona, Barcelona, Spain. Hospital Universitario Fundaci√≥n Alcorc√≥n, Madrid, Spain. Hospital Cl√≠nico San Carlos, Madrid, Spain. Hospital Universitario La Paz, Madrid, Spain. Hospital General Universitario Gregorio Mara√Ī√≥n, Madrid, Espa√Īa. Hospital de la Santa Creu i Sant Pau, Barcelona, Spain. Hospital General Universitario de Alicante, Alicante, Spain.



Urticaria and angioedema account for many visits to emergency departments. It is important to diagnose and treat them properly at this level of care and to suggest treatments and guidance that can make additional visits unnecessary. A panel of experts in dermatology and emergency medicine reviewed the main guidelines and publications on urticaria and angioedema. The panel then developed and reached consensus on practical approaches and tools for managing urticaria, angioedema, and anaphylaxis in the emergency department. The resulting statement is a guide to management, with algorithms for differential diagnosis and treatment and recommendations for patient referral. Implementing these guidelines, which are supported by the Spanish Academy of Dermatology and Venereology (AEDV) and the Spanish Society of Emergency Medicine (SEMES) will facilitate optimal management of emergency department patients with urticaria and angioedema as well as improve interdepartmental relations.


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