ChloroquineV1, Main, Exploration, bibRecord, 001524

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

Identifieur interne : 001524 ( Main/Exploration ); précédent : 001523; suivant : 001525

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

Auteurs : N. Silpa-Archa [Thaïlande] ; K. Kulthanan [Thaïlande] ; S. Pinkaew [Thaïlande]

Source :

Journal of the European Academy of Dermatology and Venereology [ 0926-9959 ] ; 2011-10.

RBID : ISTEX:693E9BCD6DD15E9B1F5EDCF39C0B66837821506E

English descriptors

Teeft :
- Acad dermatol, Adrenergic, Adrenergic urticaria, Allergic rhinitis, Allergy, Allergy clin immunol, Antihistamine, Atopy, Authors journal, Cholinergic, Cholinergic urticaria, Cholinergic urticaria patients, Chronic urticaria, Chronic urticaria patients, Cold urticaria, Demographic data, Dermatol, Dermatology, Dermographism, Diabetes mellitus, European academy, Inducible, Jeadv, Longest period, Median, Median time, Natural course, Other inducible urticarias, Physical urticaria, Positive hbsag, Pressure urticaria, Remission, Shortest course, Solar urticaria, Survival analysis, Symptomatic dermographism, Tertiary, Tertiary referral hospital, Univariate analysis, Urticaria, Venereology, Visible light, Weal.

Abstract

Background Physical urticarias (PU) are an urticarial response to different specific physical stimuli. PU can occur concurrently with chronic spontaneous urticaria or another type of PU. Objective We aimed to study the prevalence, type, clinical data and natural course of each type of PU and other inducible urticarias and also the prognostic factors for remission of patients visiting a tertiary referral hospital. Method We performed a retrospective study of 1200 chronic urticaria patients who visited our Urticaria Clinic during a period of 5 years. Results Of the 1200 chronic urticaria patients, 86 (7.2%) were diagnosed as PU and other inducible urticarias. The most common type of PU was symptomatic dermographism (n = 35, 40.7%) followed by cold urticaria (n = 20, 23.3%) and delayed pressure urticaria (n = 11, 12.8%), respectively. Twelve patients (13.9%) had associated chronic spontaneous urticaria. None of the cases had multiple types of PU. Erythrocyte sedimentary rate elevation was the most common abnormal laboratory result. Nevertheless, only 4.6% declared a related infection. For each type, the median time after onset before 50% remission showed that cholinergic urticaria took the shortest course (34 months) and delayed pressure urticaria took the longest period (110 months). After 1 year and 5 years from the onset of symptoms, 13% and 50% of PU patients were free of symptoms, respectively. Conclusion This study emphasized the variety of PU, other inducible urticarias and natural courses based on tertiary hospital care. PU and other inducible urticarias have tendency to have a longer course than chronic spontaneous urticaria.

Url:

https://api.istex.fr/ark:/67375/WNG-FXXVVBL2-F/fulltext.pdf

DOI: 10.1111/j.1468-3083.2010.03951.x

Affiliations:

Thaïlande

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Le document en format XML

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<term>Allergic rhinitis</term>
<term>Allergy</term>
<term>Allergy clin immunol</term>
<term>Antihistamine</term>
<term>Atopy</term>
<term>Authors journal</term>
<term>Cholinergic</term>
<term>Cholinergic urticaria</term>
<term>Cholinergic urticaria patients</term>
<term>Chronic urticaria</term>
<term>Chronic urticaria patients</term>
<term>Cold urticaria</term>
<term>Demographic data</term>
<term>Dermatol</term>
<term>Dermatology</term>
<term>Dermographism</term>
<term>Diabetes mellitus</term>
<term>European academy</term>
<term>Inducible</term>
<term>Jeadv</term>
<term>Longest period</term>
<term>Median</term>
<term>Median time</term>
<term>Natural course</term>
<term>Other inducible urticarias</term>
<term>Physical urticaria</term>
<term>Positive hbsag</term>
<term>Pressure urticaria</term>
<term>Remission</term>
<term>Shortest course</term>
<term>Solar urticaria</term>
<term>Survival analysis</term>
<term>Symptomatic dermographism</term>
<term>Tertiary</term>
<term>Tertiary referral hospital</term>
<term>Univariate analysis</term>
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<front><div type="abstract" xml:lang="en">Background  Physical urticarias (PU) are an urticarial response to different specific physical stimuli. PU can occur concurrently with chronic spontaneous urticaria or another type of PU. Objective  We aimed to study the prevalence, type, clinical data and natural course of each type of PU and other inducible urticarias and also the prognostic factors for remission of patients visiting a tertiary referral hospital. Method  We performed a retrospective study of 1200 chronic urticaria patients who visited our Urticaria Clinic during a period of 5 years. Results  Of the 1200 chronic urticaria patients, 86 (7.2%) were diagnosed as PU and other inducible urticarias. The most common type of PU was symptomatic dermographism (n = 35, 40.7%) followed by cold urticaria (n = 20, 23.3%) and delayed pressure urticaria (n = 11, 12.8%), respectively. Twelve patients (13.9%) had associated chronic spontaneous urticaria. None of the cases had multiple types of PU. Erythrocyte sedimentary rate elevation was the most common abnormal laboratory result. Nevertheless, only 4.6% declared a related infection. For each type, the median time after onset before 50% remission showed that cholinergic urticaria took the shortest course (34 months) and delayed pressure urticaria took the longest period (110 months). After 1 year and 5 years from the onset of symptoms, 13% and 50% of PU patients were free of symptoms, respectively. Conclusion  This study emphasized the variety of PU, other inducible urticarias and natural courses based on tertiary hospital care. PU and other inducible urticarias have tendency to have a longer course than chronic spontaneous urticaria.</div>
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Physical urticaria: prevalence, type and natural course in a tropical country

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

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English descriptors

Abstract

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