Chronic Urticaria Biomarkers IL-6, ESR and CRP in Correlation with Disease Severity and Patient Quality of Life—A Pilot Study

(1) Background: To assess the relationship between serum interleukin-6 (IL-6), erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) values and disease severity in patients with chronic spontaneous urticaria (CSU) and to examine which of these serum biomarkers better indicates disease se...

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Main Authors: Matea Kuna, Mario Štefanović, Blaženka Ladika Davidović, Nikolina Mandušić, Ines Birkić Belanović, Liborija Lugović-Mihić
Format: Article
Language:English
Published: MDPI AG 2023-08-01
Series:Biomedicines
Subjects:
Online Access:https://www.mdpi.com/2227-9059/11/8/2232
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author Matea Kuna
Mario Štefanović
Blaženka Ladika Davidović
Nikolina Mandušić
Ines Birkić Belanović
Liborija Lugović-Mihić
author_facet Matea Kuna
Mario Štefanović
Blaženka Ladika Davidović
Nikolina Mandušić
Ines Birkić Belanović
Liborija Lugović-Mihić
author_sort Matea Kuna
collection DOAJ
description (1) Background: To assess the relationship between serum interleukin-6 (IL-6), erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) values and disease severity in patients with chronic spontaneous urticaria (CSU) and to examine which of these serum biomarkers better indicates disease severity. (2) Methods: Our pilot study included 20 patients with CSU who filled out questionnaires concerning disease severity and quality of life (the Urticaria Activity Score summed over 7 days [UAS7], the once-daily Urticaria Activity Score [UAS], the Urticaria Control Test [UCT], and the Dermatology Life Quality Index [DLQI]). Blood samples were taken to measure IL-6, ESR and CRP. (3) Results: ESR significantly correlated with the UAS7 (linear and moderate correlation; r = 0.496; <i>p</i> = 0.026), while CRP did not correlate with disease severity. IL-6 correlated with the once-daily UAS (r = 0.472; <i>p</i> = 0.036) and DLQI (r = 0.504; <i>p</i> = 0.023) (linear and moderate correlation) but not the UAS7 or UCT. (4) Conclusions: IL-6 was a better indicator of the once-daily UAS and DLQI, while ESR was a better indicator of the UAS7 (there was no correlation between IL-6, CRP and ESR parameters). Although our results are promising, this study should be conducted with a larger number of CSU patients.
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spelling doaj.art-b028fce23e5b4f9ba994aefa8b496e5c2023-11-19T00:21:14ZengMDPI AGBiomedicines2227-90592023-08-01118223210.3390/biomedicines11082232Chronic Urticaria Biomarkers IL-6, ESR and CRP in Correlation with Disease Severity and Patient Quality of Life—A Pilot StudyMatea Kuna0Mario Štefanović1Blaženka Ladika Davidović2Nikolina Mandušić3Ines Birkić Belanović4Liborija Lugović-Mihić5Department of Dermatovenereology, University Hospital Center “Sestre Milosrdnice”, Vinogradska 29, 10000 Zagreb, CroatiaDepartment of Clinical Chemistry, University Hospital Center “Sestre Milosrdnice”, Vinogradska 29, 10000 Zagreb, CroatiaDepartment of Oncology and Nuclear Medicine, University Hospital Center “Sestre Milosrdnice”, Vinogradska 29, 10000 Zagreb, CroatiaDepartment of Dermatovenereology, University Hospital Center “Sestre Milosrdnice”, Vinogradska 29, 10000 Zagreb, CroatiaDepartment of Dermatovenereology, University Hospital Center “Sestre Milosrdnice”, Vinogradska 29, 10000 Zagreb, CroatiaDepartment of Dermatovenereology, University Hospital Center “Sestre Milosrdnice”, Vinogradska 29, 10000 Zagreb, Croatia(1) Background: To assess the relationship between serum interleukin-6 (IL-6), erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) values and disease severity in patients with chronic spontaneous urticaria (CSU) and to examine which of these serum biomarkers better indicates disease severity. (2) Methods: Our pilot study included 20 patients with CSU who filled out questionnaires concerning disease severity and quality of life (the Urticaria Activity Score summed over 7 days [UAS7], the once-daily Urticaria Activity Score [UAS], the Urticaria Control Test [UCT], and the Dermatology Life Quality Index [DLQI]). Blood samples were taken to measure IL-6, ESR and CRP. (3) Results: ESR significantly correlated with the UAS7 (linear and moderate correlation; r = 0.496; <i>p</i> = 0.026), while CRP did not correlate with disease severity. IL-6 correlated with the once-daily UAS (r = 0.472; <i>p</i> = 0.036) and DLQI (r = 0.504; <i>p</i> = 0.023) (linear and moderate correlation) but not the UAS7 or UCT. (4) Conclusions: IL-6 was a better indicator of the once-daily UAS and DLQI, while ESR was a better indicator of the UAS7 (there was no correlation between IL-6, CRP and ESR parameters). Although our results are promising, this study should be conducted with a larger number of CSU patients.https://www.mdpi.com/2227-9059/11/8/2232chronic urticariabiomarkersurticaria activity scoreinflammationdisease burdenonce-daily UAS
spellingShingle Matea Kuna
Mario Štefanović
Blaženka Ladika Davidović
Nikolina Mandušić
Ines Birkić Belanović
Liborija Lugović-Mihić
Chronic Urticaria Biomarkers IL-6, ESR and CRP in Correlation with Disease Severity and Patient Quality of Life—A Pilot Study
Biomedicines
chronic urticaria
biomarkers
urticaria activity score
inflammation
disease burden
once-daily UAS
title Chronic Urticaria Biomarkers IL-6, ESR and CRP in Correlation with Disease Severity and Patient Quality of Life—A Pilot Study
title_full Chronic Urticaria Biomarkers IL-6, ESR and CRP in Correlation with Disease Severity and Patient Quality of Life—A Pilot Study
title_fullStr Chronic Urticaria Biomarkers IL-6, ESR and CRP in Correlation with Disease Severity and Patient Quality of Life—A Pilot Study
title_full_unstemmed Chronic Urticaria Biomarkers IL-6, ESR and CRP in Correlation with Disease Severity and Patient Quality of Life—A Pilot Study
title_short Chronic Urticaria Biomarkers IL-6, ESR and CRP in Correlation with Disease Severity and Patient Quality of Life—A Pilot Study
title_sort chronic urticaria biomarkers il 6 esr and crp in correlation with disease severity and patient quality of life a pilot study
topic chronic urticaria
biomarkers
urticaria activity score
inflammation
disease burden
once-daily UAS
url https://www.mdpi.com/2227-9059/11/8/2232
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