Prevalence and potential risk factors of urticaria
in the Polish population of children and adolescents

Mazur, Marcel; Czarnobilska, Maria; Czarnobilska, Ewa

doi:10.5114/ada.2020.100489

Cited by 11 publications

(15 citation statements)

References 12 publications

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“…Other risk factors such as high population density, farm work, poverty and minority status have all been shown to be associated with an increased risk of developing urticaria [17,18]. While this study shows quite a strong association between air pollution (and in particular ambient ozone) and urticaria, some studies found little or no association between development of urticaria and air pollution [19] and associated the higher rates of urticaria to food allergies and other factors.…”

Section: Discussionmentioning

confidence: 58%

Air pollution and emergency department visits for urticaria

Szyszkowicz

Angelis

2021

Polish Journal of Public Health

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Introduction. This study investigates associations between air pollution and emergency department (ED) visits for urticaria in Toronto, Canada. Aim. To verify the hypothesis that urticaria are related to air pollution. Material and methods. The National Ambulatory Care Reporting System database is used to draw the daily ED visits. The L50 section of the International Classification of Disease 10th Revision is applied to extract ED visits whose primary causes was urticaria-related skin condition. Statistical models (condition Poisson regression) using daily counts of ED visits are constructed for urticaria (health response) with ambient air pollution concentrations and weather factors as independent variable. Two air quality health indexes and six ambient air pollutants: fine particulate matter PM2.5, O3, CO, NO2, SO2, and maximum 8-hour average ozone are considered as an exposure. Results. A total of 176 statistically significant (P-Value <0.05) positive correlations were identified over the 15 day lag period (0-14 days). For daily average of ambient ozone, 74 positive correlations were observed with the following relative risks (RR) for a one interquartile range (IQR=12.8 ppb) increase: RR=1.361 (95% confidence interval: 1.302, 1.404), 1.359 (1.299, 1.401), 1.351 (1.281, 1.404) in the warm season (April-September), lag 0, and RR=1.019 (1.013, 1.025), 1.023 (1.016, 1.030), 1.014 (1.007, 1.021), lag 1, in the cold period (October-March), for all, females, and males, respectively. 10, 45 and 45 positive correlations were also obtained for sulfur dioxide, fine particulate matter, and daily maximum 8-hour average ozone concentrations, respectively. Conclusions. The results indicate that urban ambient air pollution could influence the numbers of ED visits for urticaria. Ambient ozone was determined as the main environmental factor contributing to these associations.

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Section: Discussionmentioning

confidence: 58%

Air pollution and emergency department visits for urticaria

Szyszkowicz

Angelis

2021

Polish Journal of Public Health

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“…In a study conducted among the Chinese population, the causes in 21.6% and 4% of patients were food and drug allergies, respectively, while in as much as 72.1% the cause was temperature changes [ 3 ]. Mazur et al [ 16 ] also pointed to food and drugs as the most frequently mentioned causes.…”

Section: Discussionmentioning

confidence: 99%

Pathogenetic aspects of chronic urticaria. Retrospective and prospective analysis of the patients of the Department of Dermatology, Poznan University of Medical Sciences

Jenerowicz¹,

Błaszczyk²,

Raciborski³

et al. 2022

pdia

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Introduction Urticaria is a disease with a complex pathomechanism. Confirmation of the cause in chronic urticaria seems to be a great challenge for specialists. Aim To assess the frequency of different types of urticaria and their coexistence in 1 patient, diseases associated with chronic urticaria and the frequency of accompanying oedema. Material and methods The study was divided into two parts. Retrospective analysis included 441 chronic urticaria patients at the age of 15 or older hospitalized in 10 years. Information from history of the disease has been placed in a specially designed form. For the prospective analysis 78 patients have been chosen out of 441 subjects previously qualified for retrospective analysis. Results The most common type of urticaria was autoimmune (27.9% R; 30.8% P), spontaneous (19.3% R; 39.7% P) and aspirin-induced urticaria (17.5% R; 25.6% P). The most common coexisting types of urticaria were autoimmune with aspirin-induced (7.5% R; 10.3% P) and autoimmune with dermographic urticaria (3.2% R; 5.1% P). In more than half of the patients (66.7%) one type occurs only. Angioedema coexisted in over half of the patients (58% R; 69.2% P) Among the coexisting comorbidities in people with accompanying angioedema, statistically significant differences appeared in patients with thyroid diseases (19.9% with oedema and 4.9% without oedema). Among drug users, there was a greater difference between the percentage of patients with or without angioedema than among non-drug users. Conclusions It was found that among the inducing factors – pressure and stress and among drugs taken for diseases other than urticaria – NSAIDs had an influence on the persistence of symptoms in P patients.

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“…Неотложные состояния в практике педиатра всегда были и остаются первоочередными, а среди них особое место занимает крапивница. Это объясняется зачастую не столько тяжестью течения, сколько довольно высокой частотой и распространенностью этого состоя ния у детей [1,2], частой обращаемостью в отделения неотложной помощи [3] и высоким уровнем госпитализации. На современном этапе отсутствуют отечественные клинические рекомендации (протоколы) по диагностике и лечению острой крапивницы (OK) у детей.…”

Section: дискуссионный клубunclassified

“…Частый практический вопрос: каковы диетические ограничения при острой крапивнице? Поскольку ОК может быть вызвана различными факторами, в том числе пищевыми продуктами, вопрос диетических рекомендаций всегда возникает у врачей первичного звена, хотя до сих пор является дискутабельным и ответы на него довольно разноречивы [1,3,9]. Важно помнить, что IgE-опосредованная пищевая аллергия может манифестировать в виде острой крапивницы и ангиоэдемы [4,5]; хотя может иметь место пищевая непереносимость, при которой имунные механизмы не доказаны.…”

Section: дискуссионный клубunclassified

“…Однозначно ответить сложно. В каждом отдельном случае группа факторов может определять хронизацию процесса [1,18]. В первую очередь следует обратить внимание на пациентов, у которых отмечены рецидивы крапивницы, отсутствие эффекта антигистаминных препаратов в стандартных дозах, использование повышенных доз антигистаминных, а также стероидных препаратов.…”

Section: дискуссионный клубunclassified

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Острая Крапивница У Детей: Краеугольные Вопросы В Клинической Практике

Nakonechna¹,

Банадыга²

2021

Педиатрия. Восточная Европа

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Острая крапивница у детей является довольно частым неотложным состоянием, с которым встречаются медицинские работники различных специальностей. Обращает на себя внимание не столько тяжесть состояния, сколько высокая частота обращений за неотложной помощью и госпитализаций. В мире используются Британские, Американские, Канадские, Австралийские рекомендации по ведению острой крапивницы, которые в своей основе имеют идентичные подходы к диагностике и лечению. Однако отсутствие отечественных протоколов впедиатрии сопряжено с рядом неоднозначных подходов к проблеме. В частности, требуется определение четких показаний к госпитализации, объему, составу, последовательности неотложной медикаментозной терапии, выявление группы риска больных - склонных к развитию хронической крапивницы. В настоящее время обращается внимание на роль инфекционных возбудителей при острой крапивнице в детском возрасте, что требует углубленного исследования. Необходимо четко определить роль врача первичного звена в случае крапивницы у ребенка не только в отношении неотложной помощи, но и в последующем наблюдении за пациентом, дифференцированном и обоснованном направлении к аллергологу. Именно сложным практическим вопросам ведения и лечения пациента посвящена эта дискуссионная статья. Acute urticaria in children is a common emergency condition encountered by healthcare professionals of various specialties. Attention should be paid not only to the condition severity, but also to the high frequency of emergency department attendances and hospitalizations. The British, American, Canadian, Australian recommendations on the management of acute urticaria that basically have identical approaches to diagnosis and treatment are used worldwide. However, the absence of domestic protocols in pediatrics is associated with a number of ambiguous approaches to the problem. It is required to determine clear indications for hospitalization, combination, sequence of emergency medications, and identification of the risk group patients that are prone to development of chronic urticaria. Currently, attention is paid to the role of infectious agents in acute urticaria in childhood, which requires in-depth research. It is necessary to clearly define the primary care role in management and treatment of urticaria in children, not only with regard to emergency care, but also in the subsequent patient’s observation and justified referral to allergist. This discussion article is devoted to the complex practical issues of patient management and treatment.

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Prevalence and potential risk factors of urticaria in the Polish population of children and adolescents

Cited by 11 publications

References 12 publications

Air pollution and emergency department visits for urticaria

Air pollution and emergency department visits for urticaria

Pathogenetic aspects of chronic urticaria. Retrospective and prospective analysis of the patients of the Department of Dermatology, Poznan University of Medical Sciences

Острая Крапивница У Детей: Краеугольные Вопросы В Клинической Практике

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