Classification and Treatment of Angioedema without Wheals: A Spanish Delphi Consensus DOI Creative Commons
Teresa Caballero, Marta Ferrer, Mar Guilarte

et al.

American Journal of Clinical Dermatology, Journal Year: 2022, Volume and Issue: 24(1), P. 135 - 141

Published: Oct. 30, 2022

Problems in the definition and classification of angioedema, leading to difficulties its diagnosis treatment, have been identified; therefore, an improvement current angioedema is required.The aim this study was propose a practical without wheals that helps establish differential take appropriate therapeutic decisions.An initial proposal agreed by scientific committee experts subsequently validated panel means consensus based on Delphi methodology. Forty-five items classification, diagnosis, treatment were proposed for survey.Most (93.8%) after two rounds. All panelists with as well most clinical characteristics. The established three groups: histamine-mediated, bradykinin-mediated, unknown mechanism angioedema. characteristics types also agreed, except allergic histamine-mediated which generated debate. Regarding treatments, although there broad agreement items, lack knowledge about some treatments pathology observed.The accepted high degree agreement; however, available needs be increased improved.

Language: Английский

Systemic Involvement of Leukocytoclastic Vasculitis in Skin of Color DOI Open Access

M. Nasseri,

Justin L. Jia,

James Croffoot

et al.

Cureus, Journal Year: 2025, Volume and Issue: unknown

Published: April 11, 2025

Leukocytoclastic vasculitis (LCV) is an immune-mediated small-vessel with various underlying causes. We present a unique case of LCV in elderly man Fitzpatrick phototype V skin to highlight multi-organ signs associated this rare pathology. Our patient presented evolving, diffusely spread rash following respiratory symptoms accompanied by muscle weakness, scant hemoptysis, and decreased visual acuity. A comprehensive diagnostic approach, including biopsy, revealed eosinophilia. Treatment through multidisciplinary approach included systemic steroids, topical ointments, empiric antibiotics. The showed gradual improvement was discharged after nine days hospitalization. Differential diagnoses for the infections, inflammatory processes, autoimmune vasculitides such as immunoglobulin (IgA) vasculitis, urticarial cryoglobulinemic anti-neutrophil cytoplasmic antibody (ANCA)-associated vasculitides. While most instances are typically skin-limited self-resolving, highlights diffuse involvement requiring broad perspective.

Language: Английский

Citations

0

Diagnóstico e identificación oportuna de la urticaria crónica: un enfoque clave DOI
Maria M. P. Melo

Published: April 1, 2025

Paciente femenina de 43 años, sin antecedentes alergias conocidas, consulta a medicina general por presentar habones acompañados prurito intenso más 6 semanas evolución.

Citations

0

Urticarial Vasculitis DOI
Ruth X. Wang, Sabrina Newman

Immunology and Allergy Clinics of North America, Journal Year: 2024, Volume and Issue: 44(3), P. 483 - 502

Published: May 19, 2024

Language: Английский

Citations

3

Urinary soluble CD163 is useful as “liquid biopsy” marker in lupus nephritis at both diagnosis and follow-up to predict impending flares DOI Creative Commons
Yves Renaudineau,

Dominique Chauveau,

Stanislas Faguer

et al.

Journal of Translational Autoimmunity, Journal Year: 2024, Volume and Issue: 9, P. 100244 - 100244

Published: June 20, 2024

Lupus nephritis (LN) diagnosis and follow-up requires noninvasive biomarkers. Therefore, the added value of coupling urinary soluble (s)CD163/creatinuria ratio with serological markers was evaluated in a real-world clinical practice. To this end, monocentric retrospective study conducted 139 SLE patients biopsy-proven having an active LN (LN-A, n = 63 positive SLEDAI-renal score) or inactive (n 76), as well 98 non-renal patients. The sCD163/creatinuria outperformed for predicting LN-A (AUC>0.972; p < 10−4 100 % specificity threshold fixed at 320 ng/mmol), monitoring renal activity allowing prediction impending flares remissions (AUC 0.789, 10−4). elevated spot proteinuria/creatinuria (p 8 × 10−6) 10−3) were risk developing end-stage kidney disease but cannot substitute biopsy to discriminate from other glomerulonephritis. Among 14), anti-dsDNA anti-C1q antibodies (Abs) (AUC>0.750 versus non-LN patients, AUC>0.640 LN-IR patients) best predicted LN-A, higher levels retrieved class III/IV proliferative LN-A. In multivariate logistic regression analysis, remained only statistically significant biomarker predict 0.001). conclusion, compared classical markers, provides additional parameter

Language: Английский

Citations

3

Immunopathogenesis of urticaria: a clinical perspective on histamine and cytokine involvement DOI
Rudranil Bhowmik, Md. Adil Shaharyar, Arnab Sarkar

et al.

Inflammation Research, Journal Year: 2024, Volume and Issue: 73(5), P. 877 - 896

Published: March 31, 2024

Language: Английский

Citations

2

Herpes Zoster and COVID-19 Vaccination: A Narrative Review DOI Creative Commons
Luca Potestio, Matteo Megna, Alessia Villani

et al.

Clinical Cosmetic and Investigational Dermatology, Journal Year: 2023, Volume and Issue: Volume 16, P. 3323 - 3331

Published: Nov. 1, 2023

Abstract: COVID-19 was a worldwide emergency, leading to global health crisis, which completely revolutionized every aspect of human life. Several strategies were adopted limit the spreading infection such as testing and contact tracing, quarantine isolation, use face mask, social distancing, lockdowns, travel restrictions, etc. Of these, vaccines most important measures reduce transmission virus severity infection, in order overcome pandemic. Fortunately, vaccination campaign success, showing be efficient controlling preventing COVID-19, reducing risk disease progression, hospitalization, mortality. Monitoring addressing vaccine-related adverse events have been essential for maintaining public confidence. Indeed, with increasing number administered, various cutaneous reactions reported, making dermatologists key players their recognition treatment. Particularly, several diseases findings reported. note, also viral reactivations described following vaccination. Among varicella zoster (VZV) reactivation has collected. Globally, an early diagnosis accurate treatment herpes (HZ) is mandatory possible complications. In this context, we conducted review current literature investigating cases HZ aim understanding causal correlation underlying pathogenetic mechanisms offer clinicians wide perspective on VZV vaccines. Keywords: vaccination, zoster, safety

Language: Английский

Citations

6

Case of benralizumab‐induced exacerbations of chronic spontaneous urticaria DOI
Eli Magen,

Irina Komarova,

Israel Magen

et al.

Clinical Case Reports, Journal Year: 2022, Volume and Issue: 10(6)

Published: June 1, 2022

Abstract The role of IL‐5 in chronic spontaneous urticarial (CSU) is unclear. It may be that benralizumab an important bidirectional modifier CSU; is, blocking improve CSU some patients, but it possible worsen others.

Language: Английский

Citations

9

Palmatine treats urticaria by reducing inflammation and increasing autophagy DOI Creative Commons
Tian Xiao,

Xingzhi Yu,

Liping Yang

et al.

Frontiers in Immunology, Journal Year: 2023, Volume and Issue: 14

Published: Nov. 14, 2023

Introduction Chronic spontaneous urticaria (CSU) is mainly manifested as wheals and erythema on the skin accompanied by itching, which will cause emotional anxiety seriously affect quality of life in patients. Palmatine (PAL) a main chemical component Yajieshaba, has been found to effectively alleviate symptoms food allergy. However, its role mechanism CSU remain unclear. The present study aimed investigate protective effect PAL rats. Methods We replicated rat model intraperitoneal injection ovalbumin (OVA) rats days 0, 2, 4, 14, with double dose given last challenge. PAL, loratadine saline were gavage from day 5 14. observed pathologic changes, mast cell degranulation, immune factor levels, inflammatory response autophagy-related protein expression Results treatment be effective alleviating CSU-like lesions reducing itching degranulation Compared OVA group, levels factors significantly reduced, neutrophil recruitment was alleviated, suggesting reduced response. autophagy results showed that further increased LC3, Beclin-1 p-LKB1, p-AMPK, Atg5, Atg12 Atg5-Atg12, while P62 p-p70S6K1 decreased. They collectively suggested autophagic flux activated after treatment. there an increase LC3I, probably due fact induced accumulation order provide substrate for generation more LC3II. Discussion Overall, had normal rats, improved

Language: Английский

Citations

4

From Viral Infection to Skin Affliction: Unveiling Mechanisms of Cutaneous Manifestations in COVID-19 and Post-COVID Conditions DOI
N. Brahimi, David Croitoru, Fanny Saidoune

et al.

Journal of Investigative Dermatology, Journal Year: 2024, Volume and Issue: unknown

Published: Dec. 1, 2024

Language: Английский

Citations

1

In Urticarial Vasculitis, Long Disease Duration, High Symptom Burden, and High Need for Therapy Are Linked to Low Patient-Reported Quality of Life DOI
Hanna Bonnekoh, Jannis Jelden‐Thurm, Monique Butze

et al.

The Journal of Allergy and Clinical Immunology In Practice, Journal Year: 2022, Volume and Issue: 10(10), P. 2734 - 2741.e7

Published: July 19, 2022

Language: Английский

Citations

7