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Exercise immunology is a strong and mysterious science in sports medicine, but studies were origin more than a 100 years ago, when Schulte had already described an exercise-induced leukocytosis as early as 1893 [1]. Since then, both cross-sectional and longitudinal studies in humans have demonstrated the profound impact that exercise can have on the immune system. That is exactly why it is fundamentally important in this pandemic time to elucidate many questions and direct the athletes and non-athletes to the due care...

Background: Patients with chronic urticaria (CU) often report an impaired quality of life (QoL). Although a positive effect of addressing spirituality in health care has been proved in several chronic diseases, its potential role in CU has received no attention. Objective: We aim to evaluate spirituality and QoL in CU subjects. Methods: In a single-centre observational study, 100 CU subjects were investigated using Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being (FACIT-Sp-12) scale, Chronic Urticaria Quality of life Questionnaire (CU-Q2oL) and Urticaria Control Test (UCT). Results: Of 100 subjects, 82 were female and 18 were male. It was observed that subjects with poorly controlled CU presented FACIT Sp-12 meaning/peace (p = 0.004) significantly lower, and CU-Q2oL (p <0.0001) significantly higher (worst QoL) than subjects with controlled CU. There was no difference in the FACIT Sp-12 faith (p = 0.43) between groups. There was moderate direct correlation between FACIT Sp-12 faith and FACIT Sp-12 meaning/peace (r = 0.483; p <0.0001; n = 100). There was a significant strong inverse correlation between the CU-Q2oL and the UCT (r =-0.762; p <0.0001; n = 100). No correlation was found between the FACIT Sp-12 faith and CU-Q2oL, neither with UCT. Conclusion: No study has ever investigated the role of spirituality in managing patients with urticaria. Our findings support the impact of poorly controlled urticaria in spiritual well-being and QoL. Therefore, clinicians should pay more attention to spirituality among CU patients. We suggest that urticaria guidelines should include specific recommendations on spirituality assessment.

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Antecedentes: TempTest® es un nuevo método basado en el efecto Peltier, validado para el diagnóstico de pacientes con urticaria por frío (UFr) o por calor (UCal), capaz de medir las variaciones de temperatura y la actividad de estas patologías.El objetivo de este estudio es analizar los resultados de las pruebas de provocación utilizando este nuevo método, en pacientes con UFr y UCal seguidos en un Centro de referencia y excelencia para la urticaria (GA2LEN UCARE) en Rio de Janeiro.Metodos: Fueron analizadas los datos de registros médicos de 12 pacientes que tenían antecedentes de UFr o UCaly se sometieron a una prueba de provocación con TempTest®, durante los meses y años de 12/2017 y 02/2020. Las pruebas de provocación de temperatura se realizaron con solicitación para que los pacientes ponen el antebrazo en el elemento de temperatura TempTest® durante 5 minutos. Una respuesta positiva se definió por la aparición de una pápula de 2 mm de estención (el tamaño de elemento de temperatura TempTest®) a los 10 minutos después del desafío, como se recomienda.Resultados: 10 pacientes eran mujeres y 2 hombres, de 13 a 77 años (media = 50,2 años). Entre los 12 pacientes, tenían 3 urticaria por calor y 9 urticaria por frío. Los pacientes diagnosticados con urticaria por calor fueron positivos para temperaturas iguales o superiores a 38 ° C. Entre los pacientes con urticaria por frío, TempTest® fueron positivos para temperaturas iguales o inferiores a 27 ° C.Conclusiones: El TempTest® es, actualmente, lo instrumento más confiable para diagnosticar y monitorear con precisión las enfermedades, siendo sus amplias variaciones de temperatura un factor que debes ser determinado siempre que sea posible, ya que puede ayudar a los pacientes a evitar situaciones de exposición y peligro evitables.

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As doenças imunoalérgicas induzidas ou exacerbadas pelo exercício são situações significativamente importantes tanto para atletas amadores quanto profissionais. Asma, broncoespasmo, laringoespasmo e anafilaxia induzidos pelo exercício, urticárias induzidas e angioedema hereditário são exemplos destas situações. O objetivo deste artigo é contribuir para o conhecimento de profissionais de saúde com orientação ao manejo de distúrbios de hipersensibilidade induzidos por exercícios ou desencadeados durante a prática esportiva, para permitir que seus pacientes realizem, com segurança, as atividades relacionadas ao exercício.