1. Discrepancies in the management of acquired cold contact urticaria: Results of a French-speaking urticaria experts questionnaire survey
- Author
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Aurélie Du-Thanh, MD, PhD, Angèle Soria, MD, PhD, Emmanuelle Amsler, MD, Antoine Badaoui, MD, Marie-Sylvie Doutre, MD, PhD, Germaine Gabison, MD, Claire Bernier, MD, Delphine Staumont-Sallé, MD, PhD, Florence Hacard, MD, Florence Castelain, MD, Anne-Sophie Darrigade, MD, Gilbert Patrice ML Tapsoba, MD, Marie-Elodie Sarre, MD, Pascale Mathelier-Fusade, MD, Juliette Delaunay, MD, Pauline Pralong, MD, Annick Barbaud, MD, PhD, Frédéric Dezoteux, MD, Catherine Trémeau-Martinage, MD, Zhary Bachtarzi, MD, and Frédéric Augey, MD
- Subjects
Acquired cold contact urticaria ,Recommendations ,Immunologic diseases. Allergy ,RC581-607 - 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.
- Published
- 2022
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