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Food-Additive-Induced Urticaria: A Survey of 838 Patients with Recurrent Chronic Idiopathic Urticaria

Background: Recurrent chronic idiopathic urticaria (RCIU) is a common skin condition that affects 0.1–3% of the population in the USA and Europe and accounts for nearly 75% of all ‘ordinary’ chronic urticaria (CU) cases. Methods: We studied 838 consecutive patients with RCIU referred to hospital bet... Full description

Journal Title: International archives of allergy and immunology 2005-11, Vol.138 (3), p.235-242
Main Author: Di Lorenzo, Gabriele
Other Authors: Pacor, Maria Luisa , Mansueto, Pasquale , Martinelli, Nicola , Esposito-Pellitteri, Maria , Lo Bianco, Claudia , Ditta, Vito , Leto-Barone, Maria Stefania , Napoli, Nicola , Di Fede, Gaetana , Rini, GiovamBattista , Corrocher, Roberto
Format: Electronic Article Electronic Article
Language: English
Subjects:
Quelle: Alma/SFX Local Collection
Publisher: Basel, Switzerland: Karger
ID: ISSN: 1018-2438
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title: Food-Additive-Induced Urticaria: A Survey of 838 Patients with Recurrent Chronic Idiopathic Urticaria
format: Article
creator:
  • Di Lorenzo, Gabriele
  • Pacor, Maria Luisa
  • Mansueto, Pasquale
  • Martinelli, Nicola
  • Esposito-Pellitteri, Maria
  • Lo Bianco, Claudia
  • Ditta, Vito
  • Leto-Barone, Maria Stefania
  • Napoli, Nicola
  • Di Fede, Gaetana
  • Rini, GiovamBattista
  • Corrocher, Roberto
subjects:
  • additive
  • Adolescent
  • Adult
  • Aged
  • Allergic diseases
  • Allergies
  • Biological and medical sciences
  • Chronic Disease
  • Double-Blind Method
  • Female
  • Food
  • Food Additives
  • Food Hypersensitivity - diagnosis
  • Food Hypersensitivity - epidemiology
  • Fundamental and applied biological sciences. Psychology
  • Fundamental immunology
  • Humans
  • Immunopathology
  • induced urticaria
  • Male
  • Medical sciences
  • Medicina Interna
  • Middle Aged
  • Original Paper
  • Polls & surveys
  • Prevalence
  • Recurrence
  • recurrent chronic idiopathic urticaria
  • Settore MED
  • Skin
  • Skin allergic diseases. Stinging insect allergies
  • survey
  • Urticaria - chemically induced
  • Urticaria - diagnosis
ispartof: International archives of allergy and immunology, 2005-11, Vol.138 (3), p.235-242
description: Background: Recurrent chronic idiopathic urticaria (RCIU) is a common skin condition that affects 0.1–3% of the population in the USA and Europe and accounts for nearly 75% of all ‘ordinary’ chronic urticaria (CU) cases. Methods: We studied 838 consecutive patients with RCIU referred to hospital between 1998 and 2003. Patients with known causes of CU were excluded. Clinical history, physical examination, and symptom diaries were evaluated during two periods, a diet-free period (1 week) and a food-additive-free diet (FAFD) period (4 weeks), respectively, and two double-blind placebo-controlled (DBPC) challenges of six food additives were administered. The first DBPC challenge included a mixture of the six food additives (DBPCmixed) given to all patients. The second DBPC challenge comprised the single food additives, administered at increasing doses (DBPCsingle) to patients with a positive DBPCmixed test and 105 patients with a negative DBPCmixed test, as a control. Results: The DBPCmixed challenge was positive in 116 patients. None of the 105 control patients had a positive DBPCsingle test. Only 31 DBPCsingle tests were positive in patients with positive DBPCmixed challenge. Twenty-four of the 116 patients showing a positive DBPCmixed challenge also had a positive DBPCsingle result. Conclusions: Our results confirmed that food additive hypersensitivity reactions occurred in few RCIU patients using DBPCsingle challenge. The combination of the results of FAFD and DBPCmixed challenge seems to be of considerable practical interest for allergists, internists and dermatologists, rather than the data of clinical history and the results of DBPCsingle challenge, in patients with RCIU.
language: eng
source: Alma/SFX Local Collection
identifier: ISSN: 1018-2438
fulltext: fulltext
issn:
  • 1018-2438
  • 1423-0097
url: Link


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creatorDi Lorenzo, Gabriele ; Pacor, Maria Luisa ; Mansueto, Pasquale ; Martinelli, Nicola ; Esposito-Pellitteri, Maria ; Lo Bianco, Claudia ; Ditta, Vito ; Leto-Barone, Maria Stefania ; Napoli, Nicola ; Di Fede, Gaetana ; Rini, GiovamBattista ; Corrocher, Roberto
creatorcontribDi Lorenzo, Gabriele ; Pacor, Maria Luisa ; Mansueto, Pasquale ; Martinelli, Nicola ; Esposito-Pellitteri, Maria ; Lo Bianco, Claudia ; Ditta, Vito ; Leto-Barone, Maria Stefania ; Napoli, Nicola ; Di Fede, Gaetana ; Rini, GiovamBattista ; Corrocher, Roberto
descriptionBackground: Recurrent chronic idiopathic urticaria (RCIU) is a common skin condition that affects 0.1–3% of the population in the USA and Europe and accounts for nearly 75% of all ‘ordinary’ chronic urticaria (CU) cases. Methods: We studied 838 consecutive patients with RCIU referred to hospital between 1998 and 2003. Patients with known causes of CU were excluded. Clinical history, physical examination, and symptom diaries were evaluated during two periods, a diet-free period (1 week) and a food-additive-free diet (FAFD) period (4 weeks), respectively, and two double-blind placebo-controlled (DBPC) challenges of six food additives were administered. The first DBPC challenge included a mixture of the six food additives (DBPCmixed) given to all patients. The second DBPC challenge comprised the single food additives, administered at increasing doses (DBPCsingle) to patients with a positive DBPCmixed test and 105 patients with a negative DBPCmixed test, as a control. Results: The DBPCmixed challenge was positive in 116 patients. None of the 105 control patients had a positive DBPCsingle test. Only 31 DBPCsingle tests were positive in patients with positive DBPCmixed challenge. Twenty-four of the 116 patients showing a positive DBPCmixed challenge also had a positive DBPCsingle result. Conclusions: Our results confirmed that food additive hypersensitivity reactions occurred in few RCIU patients using DBPCsingle challenge. The combination of the results of FAFD and DBPCmixed challenge seems to be of considerable practical interest for allergists, internists and dermatologists, rather than the data of clinical history and the results of DBPCsingle challenge, in patients with RCIU.
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subjectadditive ; Adolescent ; Adult ; Aged ; Allergic diseases ; Allergies ; Biological and medical sciences ; Chronic Disease ; Double-Blind Method ; Female ; Food ; Food Additives ; Food Hypersensitivity - diagnosis ; Food Hypersensitivity - epidemiology ; Fundamental and applied biological sciences. Psychology ; Fundamental immunology ; Humans ; Immunopathology ; induced urticaria ; Male ; Medical sciences ; Medicina Interna ; Middle Aged ; Original Paper ; Polls & surveys ; Prevalence ; Recurrence ; recurrent chronic idiopathic urticaria ; Settore MED ; Skin ; Skin allergic diseases. Stinging insect allergies ; survey ; Urticaria - chemically induced ; Urticaria - diagnosis
ispartofInternational archives of allergy and immunology, 2005-11, Vol.138 (3), p.235-242
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7Leto-Barone, Maria Stefania
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9Di Fede, Gaetana
10Rini, GiovamBattista
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descriptionBackground: Recurrent chronic idiopathic urticaria (RCIU) is a common skin condition that affects 0.1–3% of the population in the USA and Europe and accounts for nearly 75% of all ‘ordinary’ chronic urticaria (CU) cases. Methods: We studied 838 consecutive patients with RCIU referred to hospital between 1998 and 2003. Patients with known causes of CU were excluded. Clinical history, physical examination, and symptom diaries were evaluated during two periods, a diet-free period (1 week) and a food-additive-free diet (FAFD) period (4 weeks), respectively, and two double-blind placebo-controlled (DBPC) challenges of six food additives were administered. The first DBPC challenge included a mixture of the six food additives (DBPCmixed) given to all patients. The second DBPC challenge comprised the single food additives, administered at increasing doses (DBPCsingle) to patients with a positive DBPCmixed test and 105 patients with a negative DBPCmixed test, as a control. Results: The DBPCmixed challenge was positive in 116 patients. None of the 105 control patients had a positive DBPCsingle test. Only 31 DBPCsingle tests were positive in patients with positive DBPCmixed challenge. Twenty-four of the 116 patients showing a positive DBPCmixed challenge also had a positive DBPCsingle result. Conclusions: Our results confirmed that food additive hypersensitivity reactions occurred in few RCIU patients using DBPCsingle challenge. The combination of the results of FAFD and DBPCmixed challenge seems to be of considerable practical interest for allergists, internists and dermatologists, rather than the data of clinical history and the results of DBPCsingle challenge, in patients with RCIU.
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0Di Lorenzo, Gabriele
1Pacor, Maria Luisa
2Mansueto, Pasquale
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4Esposito-Pellitteri, Maria
5Lo Bianco, Claudia
6Ditta, Vito
7Leto-Barone, Maria Stefania
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date2005-11
risdate2005
volume138
issue3
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pages235-242
issn1018-2438
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abstractBackground: Recurrent chronic idiopathic urticaria (RCIU) is a common skin condition that affects 0.1–3% of the population in the USA and Europe and accounts for nearly 75% of all ‘ordinary’ chronic urticaria (CU) cases. Methods: We studied 838 consecutive patients with RCIU referred to hospital between 1998 and 2003. Patients with known causes of CU were excluded. Clinical history, physical examination, and symptom diaries were evaluated during two periods, a diet-free period (1 week) and a food-additive-free diet (FAFD) period (4 weeks), respectively, and two double-blind placebo-controlled (DBPC) challenges of six food additives were administered. The first DBPC challenge included a mixture of the six food additives (DBPCmixed) given to all patients. The second DBPC challenge comprised the single food additives, administered at increasing doses (DBPCsingle) to patients with a positive DBPCmixed test and 105 patients with a negative DBPCmixed test, as a control. Results: The DBPCmixed challenge was positive in 116 patients. None of the 105 control patients had a positive DBPCsingle test. Only 31 DBPCsingle tests were positive in patients with positive DBPCmixed challenge. Twenty-four of the 116 patients showing a positive DBPCmixed challenge also had a positive DBPCsingle result. Conclusions: Our results confirmed that food additive hypersensitivity reactions occurred in few RCIU patients using DBPCsingle challenge. The combination of the results of FAFD and DBPCmixed challenge seems to be of considerable practical interest for allergists, internists and dermatologists, rather than the data of clinical history and the results of DBPCsingle challenge, in patients with RCIU.
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