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Published in: Italian Journal of Pediatrics 1/2021

Open Access 01-12-2021 | Omalizumab | Case report

Long term treatment with omalizumab in adolescent with refractory solar urticaria

Authors: Mauro Iannelli, Stefano Passanisi, Giuseppe Crisafulli, Stefania Arasi, Lucia Caminiti, Giuseppina Zirilli, Giovanni B. Pajno

Published in: Italian Journal of Pediatrics | Issue 1/2021

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Abstract

Background

Solar urticaria represents an uncomfortable form of chronic inducible urticaria. First and second-line treatments are ineffective in some patients, leading to an impairment in their quality of life. Omalizumab represents a safe therapeutic option in case of refractory solar urticaria.

Case presentation

We update a case of a 21-year-old Caucasian girl affected by solar urticaria from the age of 14. Poor disease control was achieved with standard or high-dose of H1-antihistamines. Several omalizumab courses, including a 1-year-long course, were practiced resulting in clinical remission and significant improvement in patient’s quality of life.

Conclusion

Our experience confirms the effectiveness and safety of omalizumab for the management of refractory solar urticaria. Future studies are awaited in order to monitor long term effects and chronic doses of this treatment, particularly in patients who need concomitant therapy with antihistamines.
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Metadata
Title
Long term treatment with omalizumab in adolescent with refractory solar urticaria
Authors
Mauro Iannelli
Stefano Passanisi
Giuseppe Crisafulli
Stefania Arasi
Lucia Caminiti
Giuseppina Zirilli
Giovanni B. Pajno
Publication date
01-12-2021
Publisher
BioMed Central
Published in
Italian Journal of Pediatrics / Issue 1/2021
Electronic ISSN: 1824-7288
DOI
https://doi.org/10.1186/s13052-021-01151-z

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