Urticarial Dermatitis: Clinical Characteristics of Itch and Therapeutic Response to Cyclosporine.

Abstract:

BACKGROUND:Urticarial dermatitis, which is characterised by persistent wheals with eczematous papules and plaques, is frequently misdiagnosed and difficult to treat. Patients commonly experience intolerable pruritus which may greatly affect their quality of life. OBJECTIVE:The objective of this study is to characterize the clinical patterns of pruritus in patients with urticarial dermatitis and to determine the effectiveness of cyclosporine treatment. METHODS:This prospective study included 50 histopathologically confirmed patients with urticarial dermatitis. A face-to-face structured questionnaire was given to all patients, and they were treated with low-dose cyclosporine (1~3 mg/kg/d) for at least 2 weeks. RESULTS:The majority of patients (80.0%) had moderate to severe pruritus. Most patients experienced exacerbation of the itch in the evening (74.0%), with the extremities (upper, 86.0%; lower, 94.0%) being the most commonly involved sites. Due to severe pruritus, patients complained about reduced social contact, quality of life and difficulties in falling asleep et al. Cyclosporine significantly reduced the mean itch score and extent of erythema, and improved interference with daily activities and sleep. CONCLUSION:Our study highlights the detailed description and characteristics of pruritus in patients with urticarial dermatitis. And we recommend alternative and effective therapeutic option of low-dose cyclosporine.

journal_name

Ann Dermatol

journal_title

Annals of dermatology

authors

Kim JM,Lim KM,Kim HS,Ko HC,Kim MB,Kim BS

doi

10.5021/ad.2017.29.2.143

subject

Has Abstract

pub_date

2017-04-01 00:00:00

pages

143-148

issue

2

eissn

1013-9087

issn

2005-3894

journal_volume

29

pub_type

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