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The persistence of chronic spontaneous urticaria in childhood is associated with the urticaria activity score.

Abstract There is little information regarding the etiology and natural course of chronic spontaneous urticaria (CSU) in childhood.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title allergy and asthma proceedings
Publication Year Start




PMID- 28234051
OWN - NLM
STAT- MEDLINE
DA  - 20170224
DCOM- 20170306
LR  - 20170306
IS  - 1539-6304 (Electronic)
IS  - 1088-5412 (Linking)
VI  - 38
IP  - 2
DP  - 2017 Mar 01
TI  - The persistence of chronic spontaneous urticaria in childhood is associated with 
      the urticaria activity score.
PG  - 136-142
LID - 10.2500/aap.2017.38.4029 [doi]
AB  - BACKGROUND: There is little information regarding the etiology and natural course
      of chronic spontaneous urticaria (CSU) in childhood. OBJECTIVE: To investigate
      the etiology, prognosis, and the factors associated with the prognosis of CSU in 
      children. METHOD: Data from children with CSU who had been diagnosed between 1992
      and 2015 were analyzed. A telephone interview was done to assess the current
      status of these patients. Remission was defined as the disappearance of urticaria
      for >6 months. RESULTS: A total of 222 children with CSU were evaluated. The
      median age of symptom onset was 8.8 years (interquartile range [IQR], 4.6-12.3
      years), median duration of urticaria was 23 months (IQR, 7-48 months), and the
      median sum of the daily urticaria activity score of 7 consecutive days (UAS7) was
      28 (IQR, 21-42). Accompanying angioedema was reported by 107 patients (48.2%),
      whereas 27.1% of the study population had autoantibody positivity. Autologous
      serum skin testing results were positive in 43 (34.1%); skin-prick testing
      results revealed atopy in 55 children (27.9%). Parasites (4.8%), pollen
      sensitization (1.5%), food allergy (0.9%), urinary tract infection (0.9%), and
      Hashimoto thyroiditis (0.5%) were determined as etiologic factors of CSU. The
      patients were followed up for a median time of 15 months (IQR, 5-36.5 months).
      Remission was observed in 10.6, 29.3, and 44.5% of the patients in 1, 3, and 5
      years, respectively. In multivariate regression analysis, a UAS7 of >28 at
      admission was found to be a risk factor for persistence of urticaria (odds ratio 
      6.22 [95% confidence interval, 1.54-25.15; p = 0.010). CONCLUSION: The etiology
      of CSU in children was mostly idiopathic despite detailed investigation. In
      childhood, the natural course of CSU was favorable, and nearly half of the
      patients recovered after 5 years of disease duration. A high UAS7 at admission
      seemed to be a significant risk factor for the persistence of symptoms.
FAU - Yilmaz, Ebru Arik
AU  - Yilmaz EA
FAU - Karaatmaca, Betul
AU  - Karaatmaca B
FAU - Cetinkaya, Pinar Gur
AU  - Cetinkaya PG
FAU - Soyer, Ozge
AU  - Soyer O
FAU - Sekerel, Bulent E
AU  - Sekerel BE
FAU - Sahiner, Umit Murat
AU  - Sahiner UM
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Allergy Asthma Proc
JT  - Allergy and asthma proceedings
JID - 9603640
SB  - IM
MH  - Adolescent
MH  - Angioedema/etiology/immunology/physiopathology
MH  - Animals
MH  - Blastocystis Infections/complications/immunology
MH  - Child
MH  - Child, Preschool
MH  - Chronic Disease
MH  - Dientamoebiasis/complications/immunology
MH  - Disease Progression
MH  - Female
MH  - Follow-Up Studies
MH  - Food Hypersensitivity/complications/immunology
MH  - Giardiasis/complications/immunology
MH  - Hashimoto Disease/complications
MH  - Humans
MH  - Male
MH  - Multivariate Analysis
MH  - Odds Ratio
MH  - Prognosis
MH  - Proportional Hazards Models
MH  - Remission, Spontaneous
MH  - Rhinitis, Allergic, Seasonal/complications/immunology
MH  - Risk Factors
MH  - Severity of Illness Index
MH  - Skin Tests
MH  - Urinary Tract Infections/complications
MH  - Urticaria/etiology/immunology/*physiopathology
EDAT- 2017/02/25 06:00
MHDA- 2017/03/07 06:00
CRDT- 2017/02/25 06:00
AID - 10.2500/aap.2017.38.4029 [doi]
PST - ppublish
SO  - Allergy Asthma Proc. 2017 Mar 1;38(2):136-142. doi: 10.2500/aap.2017.38.4029.

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