Epidemiology of urticaria including physical urticaria and angioedema in Korea

Background: Autologous serum skin test (ASST) is easy to perform, cost effective measure for initial identification of auto-antibody in patients suffering from chronic urticaria which may occur due to autoimmune trigger by spontaneously developed auto-antibodies against FcμRI receptor of skin mast cells.Objective: This review is designed to see the positivity of ASST in patients suffering from chronic urticaria.Materials & Methods: This a retrospective data analysis conducted from the records of patients suffered from at least two episodes of urticaria or more in a week for 6 weeks and who did ASST aged more than 10 years between July 2015 to June 2017. These subjects were not pregnant or lactating mother, did not had urticarial vasculitis, predominant co-existing physical urticaria and had negative Hepatitis B antigen and anti-nuclear antibody reports.Results: Total 53 were included in this study of them 33 were female. Mean age was 32 years with a standard deviation (SD) of 11 years. Among study patients 16 (30.2% of total) had a positive ASST result. No age or sex difference was observed in positive ASST cases. In positive cases significant (p-value:<0.001) mean induration difference of 2.75mm with a SD of 1.00 mm observed than induration produced by negative control.Conclusion: ASST is easy and effective tool for initial identification of auto-reactive urticaria.J MEDICINE JUL 2018; 19 (2) : 100-103

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Physical urticaria: prevalence, type and natural course in a tropical country

Journal of the European Academy of Dermatology and Venereology ◽

10.1111/j.1468-3083.2010.03951.x ◽

2010 ◽

Vol 25 (10) ◽

pp. 1194-1199 ◽

Cited By ~ 22

Author(s):

N. Silpa-archa ◽

K. Kulthanan ◽

S. Pinkaew

Keyword(s):

Natural Course ◽

Tropical Country ◽

Physical Urticaria

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Periorbital Physical Urticaria in an Anophthalmic Patient With Dermatographism

Ophthalmic Plastic and Reconstructive Surgery ◽

10.1097/iop.0b013e3181df6b0a ◽

2011 ◽

Vol 27 (1) ◽

pp. e20-e21 ◽

Cited By ~ 1

Author(s):

Shivani Gupta ◽

Vinay K. Aakalu ◽

Kiran Sajja ◽

Ritchie O. Rosso ◽

Amjad Z. Ahmad

Keyword(s):

Physical Urticaria

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Diagnostic features of chronic urticaria

Russian Journal of Skin and Venereal Diseases ◽

10.18821/1560-9588-2016-19-5-290-295 ◽

2016 ◽

Vol 19 (5) ◽

pp. 290-295

Author(s):

N. G Kochergin ◽

P. V Kolkhir ◽

Olga A. Kosoukhova

Keyword(s):

Chronic Urticaria ◽

Eosinophil Cationic Protein ◽

Autologous Serum ◽

Diagnostic Features ◽

Cationic Protein ◽

Complement Components ◽

Autologous Serum Skin Test ◽

Acute Urticaria ◽

Physical Urticaria ◽

Working Age

Urticaria is etiologically heterogeneous disease, where the main clinical sign is a wheal. For the duration of the disease course secrete acute and chronic urticaria. If urticaria elements in the skin of the patient are observedfrom several hours to 6 weeks, it is classified as acute urticaria, cutaneous if the process continues for more than 6 weeks, it is a chronic urticaria. The aim of our work was the optimization of diagnosis of chronic urticaria on the basis of the study of clinical and allergological and immunological characteristics of the testing results. The study involved 60 patients between the ages of 18 to 73 years with confirmed clinical diagnosis of chronic urticaria. The study was conducted in the clinic of skin and venereal diseases ofI.M. Sechenov First Medical State Medical University. Conducted clinical and anamnestic examination: medical history, assessment of complaints, determining the severity of urticaria (UAS7), quality of life (CU-Q2oL, DLQI), control of the symptoms of urticaria (UCT); laboratory tests: clinical blood test, C-reactive protein, thyroid hormones and antibodies to thyroid structures, tests to exclude physical urticaria, autologous serum skin test, D-dimer, rheumatoid factor, eosinophil-cationic protein, the total of IgE, antinuclear antibodies , C3 / C4 complement components, protein fractions, coagulation, urinalysis, general analysis offeces, feces on eggs of worms and protozoa. The study was conducted within 1 month and included diagnostic consultation period and 5 consultations every 7 days. Identified specific clinical and laboratory features that can be assigned to the diagnostic criteria for autoimmune form of chronic urticaria, which will continue to pick up these patients rational treatment. The high prevalence of urticaria, a variety offorms of the disease, the presence ofpathology predominantly in patients of working age, often ineffective diagnostic actions cause the urgency of the problem and the need for further study of this disease.

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Neuropsychic Factors in Physical Urticaria

Dermatology ◽

10.1159/000251023 ◽

1977 ◽

Vol 154 (1) ◽

pp. 1-4 ◽

Cited By ~ 11

Author(s):

Krzysztof Czubalski ◽

Edward Rudzki

Keyword(s):

Physical Urticaria

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Anaphylaxis Caused by Swimming: A Case Report of Cold-induced Urticaria in the Emergency Department

Clinical Practice and Cases in Emergency Medicine ◽

10.5811/cpcem.2021.4.51164 ◽

2021 ◽

Vol 5 (3) ◽

pp. 307-311

Author(s):

Nicholas McManus ◽

Robert Zehrung ◽

Trevor Armstrong ◽

Ryan Offman

Keyword(s):

Emergency Department ◽

Case Report ◽

Cold Exposure ◽

Disease Entity ◽

Air Exposure ◽

Cold Air ◽

Physical Urticaria

Introduction: Cold-induced urticaria is a subset of physical urticaria that presents as wheals or angioedema in response to cold exposure. While most cases are idiopathic, secondary associations with infections, medications, and certain cancers have been described. Case Report: We discuss the case of a 50-year-old male with recent episodes of urticaria from cold air exposure following a flu-like illness six months prior, who presented with symptoms of anaphylaxis upon jumping into a lake. Conclusion: While the majority of patients develop localized symptoms, understanding this disease entity is imperative as up to one-third of patients can develop severe symptoms including anaphylaxis, particularly from water submersion during activities such as swimming.

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Chronic inducible urticaria: Clinical presentation, diagnosis, and management

10.25259/ijsa_12_2021 ◽

2022 ◽

Vol 1 ◽

pp. 2-6

Author(s):

Pelin Kuteyla Can ◽

Daria Fomina ◽

Emek Kocaturk

Keyword(s):

Patient Education ◽

Disease Duration ◽

Clinical Presentation ◽

Treatment Approach ◽

Diagnosis And Management ◽

Physical Urticaria ◽

Chronic Inducible Urticaria ◽

Significant Difference ◽

Different Types ◽

Inducible Urticaria

Chronic inducible urticaria (CIndU) is a subtype of chronic urticaria characterized by recurrent itchy wheals and/or angioedema for more than 6 weeks. CIndU has a longer disease duration than chronic spontaneous urticaria (CSU) and wheals are shorter lasting than CSU. CIndU incudes physical and non-physical urticaria. Triggers and diagnosis of subtypes of CIndU differ from each other. Patient education for avoiding triggers is an important aspect of the treatment of CIndU. There is no significant difference in the treatment approach for CIndU and CSU. In this article, we have discussed different types of CIndU, their clinical features, diagnosis, and management.

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