Skip to main content

Modern Approaches to Treatment of Chronic Urticaria

  • Conference paper
New Trends in Allergy

Abstract

The term chronic urticaria is used where physical urticaria has been excluded and the hives continue to appear for more than 2–3 months. The number of patients with chronic urticaria on a given day can be calculated to be about 6600 among 10 million people [11]. When a patient first visits the clinic the prognosis is partly dependent on the length of time for which the patient has had attacks of urticaria. The prognosis is best for those patients who have had it for only a short time. If the urticaria has lasted for 4 months, Champion et al. [3], found that 23 percent were free of symptoms after 12 months. In patients who have had urticaria for years, the chance of improving without treatment was much less. It is important to remember this when judging the effect of the treatment which I would now like to discuss. My own experience is based on 330 patients with chronic urticaria seen during the period 1972–1978.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. August PJ (1979) Successful treatment of urticaria due to food additives with sodium cromogly-cate and an exclusion diet. In: Pepys L, Edwards AM (eds) The mast cell, its role in health and disease. Pitman Medical, Tunbridge Wells, pp 584–590

    Google Scholar 

  2. Caldwell JR, Ruddy S, Shur PH, Austen KF (1972) Acquired C1̄ inhibitor deficiency in lymphosarcoma. Clin Immunol Immunopathol 1:39

    Article  Google Scholar 

  3. Champion RH, Roberts SOB, Carpenter RG, Roger JH (1969) Urticaria and angioedema: a review of 554 patients. Br J Dermatol 81:588–597

    Article  PubMed  CAS  Google Scholar 

  4. Cohen SH, Monroe EW (1980) Combined H1 and H2 antihistamine treatment for chronic urticaria. J Allergy Clin Immunol 65:189–190

    Google Scholar 

  5. Cohen SH, Koethe SM, Kozin F, Rodey G, Arkins JA, Fink JN (1978) Acquired angioedema associated with rectal carcinoma and its response to danazol therapy. J Allergy Clin Immunol 62:217

    Article  PubMed  CAS  Google Scholar 

  6. Commens CA, Greaves MW (1978) Cimetidine in chronic idiopathic urticaria: a randomized double-blind study. Br J Dermatol 99:675–679

    Article  PubMed  CAS  Google Scholar 

  7. Cook J, Shuster S (1979) Lack of effect of H2 blockade in chronic urticaria. Br J Dermatol [Suppl 17] 101:21–22

    Google Scholar 

  8. Denman AM, Kingsley PJ, Breneton P (1979) Controlled trials of oral sodium cromoglycate in chronic urticaria and suspected food allergy. In: Pepys L, Edwards AM (eds) The mast cell. Pitman Medical, Tunbridge Wells, pp 597–603

    Google Scholar 

  9. Harvey RP, Schocket AL (1980) A controlled trial of therapy in chronic urticaria. J Allergy Clin Immunol 65:190

    Article  Google Scholar 

  10. Juhlin L (1980) Incidence of intolerance to food additives. Int J Dermatol 19:548

    Article  PubMed  CAS  Google Scholar 

  11. Juhlin L (1981) Recurrent urticaria: clinical investigation of 330 patients. Br J Dermatol 104:

    Google Scholar 

  12. Kalimo K, Jansen CT (1980) Treatment of chronic urticaria with an inhibitor of complement activation (cinnarizin). Ann Allergy 44:34–37

    PubMed  CAS  Google Scholar 

  13. Kennes B, Maubenge J de, Delespress G (1977) Treatment of chronic urticaria with adrenergic stimulant. Clin Allergy 7:35–39

    Article  PubMed  CAS  Google Scholar 

  14. Marks R (1980) Treatment of chronic urticaria. Br J Dermatol 102:240

    Article  PubMed  CAS  Google Scholar 

  15. Phanuphak P, Schocket A, Kohler PF (1978) Treatment of chronic idiopathic urticaria with combined H1 and H2 blockers. Clin Allergy 8:429–433

    Article  PubMed  CAS  Google Scholar 

  16. Schreiber AD, Zweiman B, Atkins P, Goldwein F, Pietra G (1976) Acquired angioedema with lymphoproliferative disorder: association of C1̄ inhibitor deficiency with cellular abnormality. Blood 48:567

    PubMed  CAS  Google Scholar 

  17. Soter NA (1977) Chronic urticaria as a manifestation of necrotizing venulitis. N Engl J Med 296:1040–1042

    Article  Google Scholar 

  18. Thune P, Granholt A (1975) Provocation tests with antiphlogistic food additives in recurrent urticaria. Dermatologica 151:360–366

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1981 Springer-Verlag Berlin Heidelberg

About this paper

Cite this paper

Juhlin, L. (1981). Modern Approaches to Treatment of Chronic Urticaria. In: Ring, J., Burg, G. (eds) New Trends in Allergy. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-67807-3_43

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-67807-3_43

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-10346-2

  • Online ISBN: 978-3-642-67807-3

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics