Chronic spontaneous urticaria treated with omalizumab: report of two cases

Background: Chronic spontaneous urticaria (CSU) is a relatively common skin disease whose etiopathogenesis, as well as other factors influencing disease manifestations, are not fully understood. Mast cell function is recognised as having a central role in CSU signs and symptoms. Therapeutic options...

Full description

Bibliographic Details
Main Authors: Giovanna Malara, Claudio Sciarrone
Format: Article
Language:English
Published: Taylor & Francis Group 2018-12-01
Series:Journal of Dermatological Treatment
Subjects:
Online Access:http://dx.doi.org/10.1080/09546634.2018.1551608
_version_ 1797683679674236928
author Giovanna Malara
Claudio Sciarrone
author_facet Giovanna Malara
Claudio Sciarrone
author_sort Giovanna Malara
collection DOAJ
description Background: Chronic spontaneous urticaria (CSU) is a relatively common skin disease whose etiopathogenesis, as well as other factors influencing disease manifestations, are not fully understood. Mast cell function is recognised as having a central role in CSU signs and symptoms. Therapeutic options are limited; a number of drugs, recommended by international guidelines for the management of urticaria, lack regulatory approval for CSU and are prescribed off label. Omalizumab, a recombinant humanized anti IgE antibody, has recently received the approval for CSU treatment in Europe after an appropriate clinical development. Patients and results: Two case reports, that describes our encouraging experience with this therapeutic option in a real-life setting are discussed and deeply investigate the different scenario for the omalizumab use. Conclusion: In both cases, a complete remission of CSU symptoms after omalizumab treatment are demonstrated. Moreover, 6 months therapy gave the better results, whit a relapse, in one subject, 1 month after discontinuing omalizumab. Accordingly, a better understanding of long-term safety and efficacy should be needed to allow long-term administration in responding patients through a changing in prescription rules.
first_indexed 2024-03-12T00:17:41Z
format Article
id doaj.art-1122a4af3e5a492799310345e1b42919
institution Directory Open Access Journal
issn 0954-6634
1471-1753
language English
last_indexed 2024-03-12T00:17:41Z
publishDate 2018-12-01
publisher Taylor & Francis Group
record_format Article
series Journal of Dermatological Treatment
spelling doaj.art-1122a4af3e5a492799310345e1b429192023-09-15T14:08:34ZengTaylor & Francis GroupJournal of Dermatological Treatment0954-66341471-17532018-12-012903510.1080/09546634.2018.15516081551608Chronic spontaneous urticaria treated with omalizumab: report of two casesGiovanna Malara0Claudio Sciarrone1Papardo HospitalPapardo HospitalBackground: Chronic spontaneous urticaria (CSU) is a relatively common skin disease whose etiopathogenesis, as well as other factors influencing disease manifestations, are not fully understood. Mast cell function is recognised as having a central role in CSU signs and symptoms. Therapeutic options are limited; a number of drugs, recommended by international guidelines for the management of urticaria, lack regulatory approval for CSU and are prescribed off label. Omalizumab, a recombinant humanized anti IgE antibody, has recently received the approval for CSU treatment in Europe after an appropriate clinical development. Patients and results: Two case reports, that describes our encouraging experience with this therapeutic option in a real-life setting are discussed and deeply investigate the different scenario for the omalizumab use. Conclusion: In both cases, a complete remission of CSU symptoms after omalizumab treatment are demonstrated. Moreover, 6 months therapy gave the better results, whit a relapse, in one subject, 1 month after discontinuing omalizumab. Accordingly, a better understanding of long-term safety and efficacy should be needed to allow long-term administration in responding patients through a changing in prescription rules.http://dx.doi.org/10.1080/09546634.2018.1551608omalizumabchronic spontaneous urticariaige blocker
spellingShingle Giovanna Malara
Claudio Sciarrone
Chronic spontaneous urticaria treated with omalizumab: report of two cases
Journal of Dermatological Treatment
omalizumab
chronic spontaneous urticaria
ige blocker
title Chronic spontaneous urticaria treated with omalizumab: report of two cases
title_full Chronic spontaneous urticaria treated with omalizumab: report of two cases
title_fullStr Chronic spontaneous urticaria treated with omalizumab: report of two cases
title_full_unstemmed Chronic spontaneous urticaria treated with omalizumab: report of two cases
title_short Chronic spontaneous urticaria treated with omalizumab: report of two cases
title_sort chronic spontaneous urticaria treated with omalizumab report of two cases
topic omalizumab
chronic spontaneous urticaria
ige blocker
url http://dx.doi.org/10.1080/09546634.2018.1551608
work_keys_str_mv AT giovannamalara chronicspontaneousurticariatreatedwithomalizumabreportoftwocases
AT claudiosciarrone chronicspontaneousurticariatreatedwithomalizumabreportoftwocases