Current and Emerging Therapies for Chronic Spontaneous Urticaria: A Narrative Review

Abstract Chronic spontaneous urticaria (CSU) is a condition in which wheals, angioedema, and pruritus occur spontaneously and recurrently for at least 6 weeks. The etiology of this disease is partially dependent on production of autoantibodies that activate and recruit inflammatory cells. Although t...

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Main Authors: Gil Yosipovitch, Georgia Biazus Soares, Omar Mahmoud
Format: Article
Language:English
Published: Adis, Springer Healthcare 2023-06-01
Series:Dermatology and Therapy
Subjects:
Online Access:https://doi.org/10.1007/s13555-023-00972-6
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author Gil Yosipovitch
Georgia Biazus Soares
Omar Mahmoud
author_facet Gil Yosipovitch
Georgia Biazus Soares
Omar Mahmoud
author_sort Gil Yosipovitch
collection DOAJ
description Abstract Chronic spontaneous urticaria (CSU) is a condition in which wheals, angioedema, and pruritus occur spontaneously and recurrently for at least 6 weeks. The etiology of this disease is partially dependent on production of autoantibodies that activate and recruit inflammatory cells. Although the wheals can resolve within 24 h, symptoms have a significant detrimental impact on the quality of life of these patients. Standard therapy for CSU includes second-generation antihistamines and omalizumab. However, many patients tend to be refractory to these therapies. Available treatments such as cyclosporine, dapsone, dupilumab, and tumor necrosis factor alpha (TNFa) inhibitors have been used with success in some cases. Furthermore, various biologics and other novel drugs have emerged as potential treatments for this condition, and many more are currently under investigation in randomized clinical trials.
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spelling doaj.art-7135729a0b5040a683b1c634d7a515382023-07-30T11:08:23ZengAdis, Springer HealthcareDermatology and Therapy2193-82102190-91722023-06-011381647166010.1007/s13555-023-00972-6Current and Emerging Therapies for Chronic Spontaneous Urticaria: A Narrative ReviewGil Yosipovitch0Georgia Biazus Soares1Omar Mahmoud2Dr. Phillip Frost Department of Dermatology and Cutaneous Surgery, Miami Itch Center, University of Miami Miller School of MedicineDr. Phillip Frost Department of Dermatology and Cutaneous Surgery, Miami Itch Center, University of Miami Miller School of MedicineDr. Phillip Frost Department of Dermatology and Cutaneous Surgery, Miami Itch Center, University of Miami Miller School of MedicineAbstract Chronic spontaneous urticaria (CSU) is a condition in which wheals, angioedema, and pruritus occur spontaneously and recurrently for at least 6 weeks. The etiology of this disease is partially dependent on production of autoantibodies that activate and recruit inflammatory cells. Although the wheals can resolve within 24 h, symptoms have a significant detrimental impact on the quality of life of these patients. Standard therapy for CSU includes second-generation antihistamines and omalizumab. However, many patients tend to be refractory to these therapies. Available treatments such as cyclosporine, dapsone, dupilumab, and tumor necrosis factor alpha (TNFa) inhibitors have been used with success in some cases. Furthermore, various biologics and other novel drugs have emerged as potential treatments for this condition, and many more are currently under investigation in randomized clinical trials.https://doi.org/10.1007/s13555-023-00972-6Chronic spontaneous urticariaCSUPruritus
spellingShingle Gil Yosipovitch
Georgia Biazus Soares
Omar Mahmoud
Current and Emerging Therapies for Chronic Spontaneous Urticaria: A Narrative Review
Dermatology and Therapy
Chronic spontaneous urticaria
CSU
Pruritus
title Current and Emerging Therapies for Chronic Spontaneous Urticaria: A Narrative Review
title_full Current and Emerging Therapies for Chronic Spontaneous Urticaria: A Narrative Review
title_fullStr Current and Emerging Therapies for Chronic Spontaneous Urticaria: A Narrative Review
title_full_unstemmed Current and Emerging Therapies for Chronic Spontaneous Urticaria: A Narrative Review
title_short Current and Emerging Therapies for Chronic Spontaneous Urticaria: A Narrative Review
title_sort current and emerging therapies for chronic spontaneous urticaria a narrative review
topic Chronic spontaneous urticaria
CSU
Pruritus
url https://doi.org/10.1007/s13555-023-00972-6
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AT omarmahmoud currentandemergingtherapiesforchronicspontaneousurticariaanarrativereview