SUMMARY.— The records of 554 consecutive patients attending hospitals in the Cambridge region with urticaria have been analysed with the aid of a computer. These patients represent only a small minority of all patients with urticaria in the region. In 79%, the aetiology was unknown although in many cases aggravating factors, for example, psychological stress, aspirin, or infection, were detected.
A past or family history of atopic disorders was not found more frequently in patients with urticaria than in controls and the course of the disease in patients with a background of atopy did not differ from the remainder, suggesting that an undetected allergy is not responsible for many of these undiagnosed cases. Allergy is relatively more important in acute urticaria and in patients who do not attend hospital.
The frequency of attacks and total duration of the disease are different in patients with urticaria alone, angio‐oedema alone and both together but there was little difference in the aetiological factors, supporting the concept that urticaria and angio‐oedema are fundamentally similar.
The prognosis is expressed in the form of life tables.
A method of micro-titration for cytolytic antibodies is described. Standard drops of diluent are placed on a subdivided siliconed slide and dilutions are made by rotating a wire loop holding 1 drop of serum in each drop sequentially. One drop of a mixture of cells and complement is then added. The slide is incubated in a moist chamber for 90 min at 37° C. after which a small cover-slip is placed on each drop and the amount of cell lysis, judged by phase-contrast microscopy, is graded.An analysis of variance of the method has been performed and the method has been found to be reliable, accurate and unbiased.It allows accurate estimates of cytolytic activity in sera using cell concentrations of 104 to 105 cells per ml. Eight ten-dilution titrations can be carried out with 1 ml. of such a suspension.
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