Clinical effects of COVID-19 vaccines on chronic spontaneous urticaria patients: a study on two Turkish centers

BackgroundThe relationship between CSU and vaccines is reported in the literature. The post-vaccine clinical effect of COVİD-19 vaccines on CSU patients is still unclear. we aimed to evaluate clinical effects of COVID-19 Vaccines on CSU patients.Materials and methodsCSU patients under treatment and...

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Main Authors: Demet Kartal, Shahzada Orujova, Ragıp Ertaş
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-09-01
Series:Frontiers in Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2023.1222126/full
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author Demet Kartal
Shahzada Orujova
Ragıp Ertaş
author_facet Demet Kartal
Shahzada Orujova
Ragıp Ertaş
author_sort Demet Kartal
collection DOAJ
description BackgroundThe relationship between CSU and vaccines is reported in the literature. The post-vaccine clinical effect of COVİD-19 vaccines on CSU patients is still unclear. we aimed to evaluate clinical effects of COVID-19 Vaccines on CSU patients.Materials and methodsCSU patients under treatment and follow-up in our outpatient clinic were evaluated retrospectively. To determine disease activity the urticaria activity score over seven days (UAS7) was used. The details of demographic information, CSU treatment, history of COVID-19 infection and exacerbation of urticaria during infection, COVID-19 vaccinations, type of vaccine, side effect reaction time after vaccination, hospital admission requirement were also assessed.ResultsTotal of 190 patients with a mean age of The mean age of patients was 41,7±14,0 years (range = 18–72) were enrooled. The patient sample consisted of 50 males and 140 females (male/female ratio 1:2.8). 181 (CoronaVac 77, Pfizer-BioNTech 104) patients were vaccinated. Urticarial exacerbation was occurred in 25 patients. The median UAS value was 5 before vaccination, it was 12 in patients with post-vaccine urticaria. Two patients had angioedema and one patient had anaphylaxis after vaccinated with Pfizer-BioNTech.ConclusionCOVID-19 vaccination in the CSU can be considered safe. Cases with urticarial exacerbation appear to be transient and can be managed by antihistamine and/or systemic steroid therapies. More extensive studies are needed for the relationship with CSU and post-coronavirus vaccination anaphylaxy.
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spelling doaj.art-0edbad71b6094f8fa00f6b0f8e8797232023-09-29T04:09:54ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2023-09-011010.3389/fmed.2023.12221261222126Clinical effects of COVID-19 vaccines on chronic spontaneous urticaria patients: a study on two Turkish centersDemet Kartal0Shahzada Orujova1Ragıp Ertaş2Dermatology and Venereology Department, Erciyes University Medical School, Kayseri, TürkiyeDermatology and Venereology Department, Erciyes University Medical School, Kayseri, TürkiyeKayseri City Hospital Kayseri, Kayseri, TürkiyeBackgroundThe relationship between CSU and vaccines is reported in the literature. The post-vaccine clinical effect of COVİD-19 vaccines on CSU patients is still unclear. we aimed to evaluate clinical effects of COVID-19 Vaccines on CSU patients.Materials and methodsCSU patients under treatment and follow-up in our outpatient clinic were evaluated retrospectively. To determine disease activity the urticaria activity score over seven days (UAS7) was used. The details of demographic information, CSU treatment, history of COVID-19 infection and exacerbation of urticaria during infection, COVID-19 vaccinations, type of vaccine, side effect reaction time after vaccination, hospital admission requirement were also assessed.ResultsTotal of 190 patients with a mean age of The mean age of patients was 41,7±14,0 years (range = 18–72) were enrooled. The patient sample consisted of 50 males and 140 females (male/female ratio 1:2.8). 181 (CoronaVac 77, Pfizer-BioNTech 104) patients were vaccinated. Urticarial exacerbation was occurred in 25 patients. The median UAS value was 5 before vaccination, it was 12 in patients with post-vaccine urticaria. Two patients had angioedema and one patient had anaphylaxis after vaccinated with Pfizer-BioNTech.ConclusionCOVID-19 vaccination in the CSU can be considered safe. Cases with urticarial exacerbation appear to be transient and can be managed by antihistamine and/or systemic steroid therapies. More extensive studies are needed for the relationship with CSU and post-coronavirus vaccination anaphylaxy.https://www.frontiersin.org/articles/10.3389/fmed.2023.1222126/fullangioedemachronic urticaria (CU)anaphylaxisCOVID-19 vaccinationvaccination
spellingShingle Demet Kartal
Shahzada Orujova
Ragıp Ertaş
Clinical effects of COVID-19 vaccines on chronic spontaneous urticaria patients: a study on two Turkish centers
Frontiers in Medicine
angioedema
chronic urticaria (CU)
anaphylaxis
COVID-19 vaccination
vaccination
title Clinical effects of COVID-19 vaccines on chronic spontaneous urticaria patients: a study on two Turkish centers
title_full Clinical effects of COVID-19 vaccines on chronic spontaneous urticaria patients: a study on two Turkish centers
title_fullStr Clinical effects of COVID-19 vaccines on chronic spontaneous urticaria patients: a study on two Turkish centers
title_full_unstemmed Clinical effects of COVID-19 vaccines on chronic spontaneous urticaria patients: a study on two Turkish centers
title_short Clinical effects of COVID-19 vaccines on chronic spontaneous urticaria patients: a study on two Turkish centers
title_sort clinical effects of covid 19 vaccines on chronic spontaneous urticaria patients a study on two turkish centers
topic angioedema
chronic urticaria (CU)
anaphylaxis
COVID-19 vaccination
vaccination
url https://www.frontiersin.org/articles/10.3389/fmed.2023.1222126/full
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