Chronic urticaria in a two year old child: a diagnostic dilemma


  • Jayasurya Suresh Department of Paediatrics, Providence Hospital, Alappuzha, Kerala, India
  • Nidheesh Chandran R. Department of General Medicine, Mysore medical college, Karnataka, India



Chronic urticaria, Childhood urticaria, Coriander allergy


A 2 year old child presented with history of recurrent urticaria for 2 months. The cause was initially idiopathic. On close questioning about diet and observation it was found that mother started using a coriander based masala powder 2 months back and it was found that the child was allergic to coriander. Chronic urticaria should be dealt with extreme caution and careful elicitation of history for the offending agent should be taken in a case of urticaria which poses as a diagnostic dilemma.

Author Biography

Jayasurya Suresh, Department of Paediatrics, Providence Hospital, Alappuzha, Kerala, India

Department of Paediatrics

Providence hospital

Alappuzha, Kerala, India


Radonjic-Hoesli S, Hofmeier KS, Micaletto S, Schmid-Grendelmeier P, Bircher A, Simon D. Urticaria and angioedema: an update on classification and pathogenesis.Clin Rev Allergy Immunol. 2018;54(1):88-101.

Altman K, Chang C. Pathogenic intracellular and autoimmune mechanisms in urticaria and angioedema.Clin Rev Allergy Immunol. 2013;45(1): 47-62.

Min TK, Saini SS. Emerging therapies in chronic spontaneous urticaria. Allergy Asthma Immunol Res. 2019;11(4):470-81.

Schaefer P. Acute and chronic urticaria: evaluation and treatment. Am Fam Physician. 2017;95(11):717-24.

Brussino L, Nicola S, Giorgis V, Rolla G. Beer anaphylaxis due to coriander as hidden allergen. BMJ Case Rep. 2018;2018:bcr2018-225562.

Ebo DG, Bridts CH, Mertens MH, Stevens WJ. Coriander anaphylaxis in a spice grinder with undetected occupational allergy. Acta Clin Belg. 2006;61(3):152-6.

Suhonen R, Keskinen H, Björkstén F, Vaheri E, Zitting A. Allergy to coriander. A case report. Allergy.1979;34(5):327-30.

Moneret-Vautrin DA, Morisset M, Lemerdy P, Croizier A, Kanny G. Food allergy and IgE sensitization caused by spices: CICBAA data (based on 589 cases of food allergy). Allerg Immunol (Paris). 2002;34(4):135-40.

Manzanedo L, Blanco J, Fuentes M, Caballero ML, Moneo I. Anaphylactic reaction in a patient sensitized to coriander seed. Allergy. 2004;59(3):362-3.






Case Reports