Abstract
Objective: To estimate the frequency of chronic urticaria in patients who attended an allergy service in a tertiary care hospital; in addition, the main clinical characteristics are described.
Methods: In a period of 7 months, a total of 96 patients who were over 18 years of age were analyzed; they had been diagnosed with chronic spontaneous urticaria and chronic inducible urticaria.
Results: The frequency of chronic urticaria was of 1.31 % (n=98); 53 % were associated with some allergic pathology, and 54 % showed an alteration in the paraclinical tests. Chronic spontaneous urticaria was found in 80 % of the patients; and in 62 % of them, the urticaria was associated with angioedema. Chronic urticaria was controlled in 19 % of the studied population with the use of a single antihistamine.
Conclusions: The frequency of chronic urticaria in our study was lower than the frequency reported nationwide.
References
Zuberbier T, Aberer W, Asero R, Abdul-Latiff AH, Baker D, Ballmer-Weber B, et al. The EAACI/GA LEN/EDF/WAO guideline for the definition, classification, diagnosis and management of urticaria. Allergy. 2018;73(7):1393-1414. DOI: 10.1111/all.13397
Fricke J, Ávila G, Keller T, Weller K, Lau S, Maurer M, et al; Prevalence of chronic urticaria in children and adults across the globe: systematic review with meta-analysis. Allergy. 2020;75(2):423-432. DOI: 10.1111/all.14037
Salgado-Gama J, Barrera-Perigault P, Becerril-Ángeles M. Urticaria crónica: características clínicas de un grupo de pacientes de Veracruz, México. Rev Alerg Mex. 2005;52(5):200-205.
Larenas-Linnemann D, Medina-Ávalos MA, Ortega-Martell JA, Beirana-Palencia AM, Rojo-Gutiérrez MI, Morales-Sánchez MA, et al. Guía mexicana para el diagnóstico y el tratamiento de la urticaria. Rev Alerg Mex. 2014;61(Supl 2):S117-S193. Disponible en: https://revistaalergia.mx/ojs/index.php/ram/article/view/49/66
Zuberbier T, Aberer W, Asero R, Bindslev-Jensen C, Brzoza Z, Canonica GW, et al. The EAACI/GA2LEN/EDF/WAO guideline for the definition, classification, diagnosis, and management of urticaria: The 2013 revision and update. Allergy. 2014;69(7):868-887. DOI: 10.1111/all.12313
Máspero J, Cabrera H, Ardusso L, de Gennaro M, Fernández-Bussy R, Galimany J, et al. Guía argentina de urticaria y angioedema. Medicina (B Aires). 2014;74(Supl 1):1-53. Disponible en: http://www.scielo.org.ar/scielo.php?script=sci_arttext&pid=S0025-76802014000600001&lng=en&tlng=en
Criado PR, Criado RFJ, Maruta CW, Silva-dos Reis VM. Chronic urticaria in adults: State-of-the-art in the new millennium. An Bras Dermatol. 2015;90(1):74-89. DOI: 10.1590/abd1806-4841.20153509
Kasperska-Zajac A. Acute-phase response in chronic urticaria. J Eur Acad Dermatol Venereol. 2012;26(6):665-672. DOI: 10.1111/j.1468-3083.2011.04366.x
Magen E, Waitman DA, Dickstein Y, Davidovich D, Kahan NR. Clinical-laboratory characteristics of ANA-positive chronic idiopathic urticaria. Allergy Asthma Proc. 2015;36(2):138-144. DOI: 10.2500/aap.2015.36.3829
Fernández-Romero DS, Malbran A. Urticaria crónica con alteraciones de la función tiroidea y anticuerpos antiperoxidasa tiroidea. Medicina (B Aires). 2005;65(3):231-234. Disponible en: http://www.medicinabuenosaires.com/revistas/vol65-05/3/URTICARIA%20CRONICA%20CON%20ALTERACIONES%20DE%20LA%20FUNCION%20TIROIDEA%20Y%20ANTICUERPOS.PDF
Hernández-Ochoa C, Gómez-Gómez C, Rodríguez-Rodríguez I, et al. Prevalencia de urticaria crónica y patologías asociadas en el Centro Regional de Alergia e Inmunología Clínica del Hospital Universitario "Dr. José Eleuterio González", Universidad Autónoma de Nuevo León. Medicina Universitaria 2013;12(60):114-117. Disponible en: https://www.elsevier.es/en-revista-medicina-universitaria-304-articulo-prevalencia-urticaria-cronica-patologias-asociadas-X1665579613496113
Vietri J, Turner SJ, Tian H, Isherwood G, Balp M-M, Gabriel S. Effect of chronic urticaria on US patients: Analysis of the National Health and Wellness Survey. Ann Allergy, Asthma Immunol. 2015;115(4):306-311. DOI: 10.1016/j.anai.2015.06.030
Sánchez J, Amaya E, Acevedo A, Celis A, Caraballo S, Cardona R. Prevalence of inducible urticaria in patients with chronic spontaneous urticaria: associated risk factors. J Allergy Clin Immunol Pract. 2017;5(2):464-470. DOI: 10.1016/j.jaip.2016.09.029
Sánchez J, Sánchez A, Cardona R. Dietary habits in patients with chronic spontaneous urticaria: evaluation of food as trigger of symptoms exacerbation. Dermatol Res Pract. 2018;2018:6703052. DOI: 10.1155/2018/6703052
Sánchez J, Sánchez A, Cardona R. Prevalence of drugs as triggers of exacerbations in chronic urticaria. J Investig Allergol Clin Immunol. 2019;29(2):112-117. DOI: 10.18176/jiaci.0287
Kulthanan K,Jiamton S, Thumpimukvatana N, et al. Chronic idiopathic urticaria: prevalence and clinical course. J Dermatol. 2007;34(5):294-301. DOI: 10.1111/j.1346-8138.2007.00276.x
Kolkhir P, Church MK, Weller K, Metz M, Schmetzer O, Maurer M. Autoimmune chronic spontaneous urticaria: What we know and what we do not know. J Allergy Clin Immunol. 2017;139(6):1772-178. DOI: 10.1016/j.jaci.2016.08.050
Viswanathan RK, Biagtan MJ, Mathur SK. The role of autoimmune testing in chronic idiopathic urticaria. Ann Allergy, Asthma Immunol. 2012;108(5):337-341. DOI: 10.1016/j.anai.2012.02.018
Do Hun Kim, Nam Hee Sung, Ai Young Lee. Effect of levothyroxine treatment on clinical symptoms in hypothyroid patients with chronic urticaria and thyroid autoimmunity. Ann Dermatol. 2016;28(2):199-204. DOI: 10.5021/ad.2016.28.2.199
Chaykivska Z, Antoszczyk G, Czarnobilska E. The elevated level of anti-thyroid antibodies aTPO in chronic spontaneous urticaria. Przegl Lek. 2015;72 (12):736-738.
Sánchez-Borges M, Tassinari S, Flores A. Características epidemiológicas en pacientes con urticaria crónica espontánea resistente al tratamiento con antihistamínicos. Rev Alerg Mex. 2015;62(4):279-286. DOI: 10.29262/ram.v62i4.130

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Copyright (c) 2021 Revista Alergia México