Comorbidities of Chronic Urticaria: A glimpse into a complex relationship

Chronic Urticaria (CU) is a chronic inflammatory, predominantly mast cell-driven disease, characterized by the development of wheals and/or angioedema for more than 6 weeks. It affects approximately 1%–5% of the total population worldwide and imposes a substantial burden on health-related quality of...

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Main Authors: Niki Papapostolou, Paraskevi Xepapadaki, Alexander Katoulis, Michael Makris
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-11-01
Series:Frontiers in Allergy
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/falgy.2022.1008145/full
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author Niki Papapostolou
Paraskevi Xepapadaki
Alexander Katoulis
Michael Makris
author_facet Niki Papapostolou
Paraskevi Xepapadaki
Alexander Katoulis
Michael Makris
author_sort Niki Papapostolou
collection DOAJ
description Chronic Urticaria (CU) is a chronic inflammatory, predominantly mast cell-driven disease, characterized by the development of wheals and/or angioedema for more than 6 weeks. It affects approximately 1%–5% of the total population worldwide and imposes a substantial burden on health-related quality of life, significantly affecting patients' daily life. The economic impact on the health system is also not negligible, with an estimated cost per patient per year of approximately 2.000 $ in the United States. Although the underlying pathophysiology is not fully explored, autoimmune mechanisms have been proposed, including type I (“autoallergy” by means of autoantibodies to self-antigens) and type IIb (autoimmunity). Atopic, autoimmune, and psychiatric disorders are prevalent comorbidities in both children and adults with Chronic Spontaneous Urticaria (CSU). Although malignancies, cardiovascular diseases and other comorbidities have also been reported as associated diseases in patients with CSU, data remain scarce. It is still unknown whether the aforementioned comorbidities share common pathophysiological mechanisms with specific endotypes of CSU. The current review aims to overview current data on comorbidities of CU, and furthermore to comment on the potential linked pathways underlying these diseases.
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spelling doaj.art-89cff3cd1a5b4576a3de197bf246d7062022-12-22T03:39:40ZengFrontiers Media S.A.Frontiers in Allergy2673-61012022-11-01310.3389/falgy.2022.10081451008145Comorbidities of Chronic Urticaria: A glimpse into a complex relationshipNiki Papapostolou0Paraskevi Xepapadaki1Alexander Katoulis2Michael Makris3Allergy Unit, 2nd Department of Dermatology and Venereology, Medical School, National and Kapodistrian University of Athens, Attikon University Hospital, Athens, GreeceAllergy Department, 2nd Pediatric Clinic, National and Kapodistrian University of Athens, Athens, GreeceAllergy Unit, 2nd Department of Dermatology and Venereology, Medical School, National and Kapodistrian University of Athens, Attikon University Hospital, Athens, GreeceAllergy Unit, 2nd Department of Dermatology and Venereology, Medical School, National and Kapodistrian University of Athens, Attikon University Hospital, Athens, GreeceChronic Urticaria (CU) is a chronic inflammatory, predominantly mast cell-driven disease, characterized by the development of wheals and/or angioedema for more than 6 weeks. It affects approximately 1%–5% of the total population worldwide and imposes a substantial burden on health-related quality of life, significantly affecting patients' daily life. The economic impact on the health system is also not negligible, with an estimated cost per patient per year of approximately 2.000 $ in the United States. Although the underlying pathophysiology is not fully explored, autoimmune mechanisms have been proposed, including type I (“autoallergy” by means of autoantibodies to self-antigens) and type IIb (autoimmunity). Atopic, autoimmune, and psychiatric disorders are prevalent comorbidities in both children and adults with Chronic Spontaneous Urticaria (CSU). Although malignancies, cardiovascular diseases and other comorbidities have also been reported as associated diseases in patients with CSU, data remain scarce. It is still unknown whether the aforementioned comorbidities share common pathophysiological mechanisms with specific endotypes of CSU. The current review aims to overview current data on comorbidities of CU, and furthermore to comment on the potential linked pathways underlying these diseases.https://www.frontiersin.org/articles/10.3389/falgy.2022.1008145/fullchronic urticariacomorbiditieschronic spontaneous urticariapsychiatric disordersatopic diseasesautoimmune diseases
spellingShingle Niki Papapostolou
Paraskevi Xepapadaki
Alexander Katoulis
Michael Makris
Comorbidities of Chronic Urticaria: A glimpse into a complex relationship
Frontiers in Allergy
chronic urticaria
comorbidities
chronic spontaneous urticaria
psychiatric disorders
atopic diseases
autoimmune diseases
title Comorbidities of Chronic Urticaria: A glimpse into a complex relationship
title_full Comorbidities of Chronic Urticaria: A glimpse into a complex relationship
title_fullStr Comorbidities of Chronic Urticaria: A glimpse into a complex relationship
title_full_unstemmed Comorbidities of Chronic Urticaria: A glimpse into a complex relationship
title_short Comorbidities of Chronic Urticaria: A glimpse into a complex relationship
title_sort comorbidities of chronic urticaria a glimpse into a complex relationship
topic chronic urticaria
comorbidities
chronic spontaneous urticaria
psychiatric disorders
atopic diseases
autoimmune diseases
url https://www.frontiersin.org/articles/10.3389/falgy.2022.1008145/full
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AT paraskevixepapadaki comorbiditiesofchronicurticariaaglimpseintoacomplexrelationship
AT alexanderkatoulis comorbiditiesofchronicurticariaaglimpseintoacomplexrelationship
AT michaelmakris comorbiditiesofchronicurticariaaglimpseintoacomplexrelationship