Differential Diagnosis of Chronic Spontaneous Urticaria.

Gialama D, Bonnekoh H, Rothermel ND, Oldenburg R, Khan DA, Hoffman HM, Lang D, Kolkhir P

J Allergy Clin Immunol Pract · 2025

Grade Ccase reportn=1

Key Findings

  • Identifies key red flags distinguishing Schnitzler syndrome from chronic spontaneous urticaria: wheals lasting >24 hours, post-inflammatory hyperpigmentation, arthralgia, fever, elevated CRP
  • Recommends serum immunofixation electrophoresis and genetic testing when red flags are present
  • Discusses autoinflammatory, autoimmune, and malignant causes of chronic recurrent wheals
  • From Charité Berlin group; highlights role of histology and laboratory work-up in differential diagnosis
  • Case-based approach to DDx including Schnitzler syndrome and urticarial vasculitis

Referenced in (1 disease)

ID: pmid-40562278DOI: 10.1016/j.jaip.2025.06.019PMID: 40562278