Assoziation der chronischen Urtikaria mit Helicobacter pylori-induzierter Antrum-Gastritis

Bohmeyer, J.; Heller, Andreas; Hartig, Christine; Westenberger-Treumann, M.; Huchzermeyer, H.; Otte, H; Stadler, Rudolf

doi:10.1007/s001050050385

Cited by 34 publications

(23 citation statements)

References 4 publications

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“…This ‘negative’ finding is in contrast to other reports postulating a causal relationship between HP infection and chronic urticaria [4, 6, 7, 9]. Our data, however, are in agreement with a recent study failing to demonstrate an association between HP infection and CIU [8].…”

Section: Discussioncontrasting

confidence: 57%

“…This treatment, chosen because it led to resolution of the chronic urticaria in 8 of 8 in one study [6], was not sufficiently effective in our series as well as in other recent studies [13, 14]. Urticaria was resolved only in 1 of 3 patients, in whom eradication was successful.…”

Section: Discussionmentioning

confidence: 51%

“…A similar regime (omeprazole and amoxicillin) was described as highly effective in one study with patients with chronic urticaria and HP infection [6]. Symptomatic treatment with short acting antihistamines was allowed in both study arms.…”

Section: Methodsmentioning

confidence: 99%

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Chronic Idiopathic Urticaria: Natural Course and Association with Helicobacter pylori Infection

Schnyder

Helbling

Pichler³

1999

Int Arch Allergy Immunol

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Background: Chronic urticaria is a common disease, though only few data on its natural course are available. In most cases the cause cannot be determined. Recently a relationship of chronic urticaria to infection with Helicobacter pylori (HP) has been postulated, but no controlled study has been performed to prove this association. Methods: In this prospective study the clinical course and rate of HP infection in 46 patients with chronic ‘idiopathic’ urticaria were investigated. Infected patients were treated in a double–blind placebo–controlled crossover study with amoxycillin and lansoprazol. Eradication and clinical course were followed up 2 months after each treatment, respectively, 3 and 6 months after the first consultation. Results: In 19/46 (41%) the chronic ‘idiopathic’ urticaria resolved within 6 months. 12 patients (24%) were infected with HP, which corresponds to the infection rate of the population at comparable ages without urticaria in Switzerland. Eradication of HP was achieved in 3, but only in 1 was the eradication associated with the resolution of urticaria. Conclusions: Our data show that in young patients with a rather short history of chronic urticaria frequently a rather favourable natural course of chronic idiopathic urticaria can be seen. No association between HP infection and chronic urticaria could be demonstrated.

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Section: Discussioncontrasting

confidence: 57%

Section: Discussionmentioning

confidence: 51%

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Chronic Idiopathic Urticaria: Natural Course and Association with Helicobacter pylori Infection

Schnyder

Helbling

Pichler³

1999

Int Arch Allergy Immunol

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“…In 8 out of 30 patients (26.7%), clinical improvement or remission of the urticaria was found after eradication of H. pylori in a follow-up period of 6 months. This result does not reach the better response rates of other investigators [6, 7]. A possible explanation for this could be the longer follow-up period in our patients.…”

Section: Discussioncontrasting

confidence: 52%

“…In preliminary studies, a possible role of gastric H. pylori infection in the pathogenesis of chronic urticaria has been reported. In support of this view, it could be shown that antibiotic eradication of H. pylori may lead to regression of urticaria in up to 100% of cases [5, 6, 7]. …”

Section: Introductionmentioning

confidence: 84%

<i>Helicobacter pylori </i>as a Possible Bacterial Focus of Chronic Urticaria

Wustlich¹,

Brehler²,

Luger³

et al. 1999

Dermatology

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Background: Chronic urticaria is one of the most frequent skin diseases. Its cause, however, remains unsolved in a large number of cases. Recent investigations pointed to a potential role of Helicobacter pylori infection of the upper gastrointestinal tract as a possible causative agent in chronic urticaria. Objective: The aim of this study was to examine the effect of a 14-day eradication therapy on chronic urticaria. Methods: Thirty patients with chronic urticaria and confirmed H. pylori infection were treated with amoxicillin and omeprazole. Follow-up was conducted over a period of 6 months concerning eradication of H. pylori and remission of urticaria. Results: Only 8 out of 30 patients (26.7%) showed clinical improvement or disappearance of their urticarial symptoms. Conclusion: Though our results do not support the preliminary data of previous studies, the role of H. pylori as a possible bacterial focus of chronic urticaria has to be further investigated.

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