ArticleClinical and translational allergy2023
Differential diagnosis between urticarial vasculitis and chronic spontaneous urticaria: An international Delphi survey.
Article in Clinical and translational allergy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.
- The International Guideline for the Definition, Classification, Diagnosis and Management of Urticaria.Allergy · 2026Guideline
- Review
- Article
- Challenging Clinical Therapeutic Approach to Urticarial Vasculitis: A Case Series.Journal of clinical medicine · 2025Article
- Global productivity, international collaborations, and research trends in chronic spontaneous urticaria: A bibliometric overview.The journal of allergy and clinical immunology. Global · 2025Article
- A case of chronic spontaneous urticaria with wheals lasting for more than a week.The Journal of dermatology · 2025Article
- Managing Urticarial Vasculitis: A Clinical Decision-Making Algorithm Based on Expert Consensus.American journal of clinical dermatology · 2025Review
- [What are the main symptoms of urticaria and how are they systematically recorded?]Dermatologie (Heidelberg, Germany) · 2024Review
- Differential diagnosis between urticarial vasculitis and chronic spontaneous urticaria: An international Delphi survey.Clinical and translational allergy · 2023Article
- Chronic spontaneous urticaria: update on pathogenesis and therapeutic implications.Anais brasileiros de dermatologiaReview
Corrections and comments
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Authors and funding
14 authors at 8 institutions in 6 countries.
Funding
Abstract
backgroundUrticarial vasculitis (UV) should be differentiated from chronic spontaneous urticaria (CSU) in patients initially presenting with recurrent wheals, although criteria for differential diagnosis remain ill-defined.
objectivesTo set the goals, define criteria and unmet needs in UV diagnosis and differential diagnosis with CSU, and explore the possibility of coexistence of both diseases.
methodsThirteen experts experienced in UV research participated in a Delphi survey of European Academy of Allergy and Clinical Immunology taskforce. This Delphi survey involved three rounds of anonymous responses to n = 32 questions with the aim to aggregate the experts' opinions and to achieve consensus. Urticaria specialists (n = 130, most from Urticaria Centers of Reference and Excellence) evaluated the consensus statements and recommendations in the fourth and final round.
resultsThe panel agreed that essential criteria to guide a skin biopsy in patients with recurrent wheals should include at least one of the following features: wheal duration >24 h, bruising/postinflammatory hyperpigmentation, and systemic symptoms. Leukocytoclasia and fibrin deposits were identified as a minimum set of UV histological criteria. As agreed by the panel members, CSU and normocomplementemic UV (NUV) may coexist in some patients.
conclusionsThe use of established criteria for the diagnosis and differential diagnosis of UV in patients with recurrent wheals can help guide the diagnostic approach and prompt earlier treatment. Further studies should investigate whether CSU and NUV are different entities or part of a disease spectrum.
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