Premium
Real life management of chronic urticaria: Multicenter and cross sectional study on patients and dermatologists in Iran
Author(s) -
Firooz Alireza,
Akhlaghi AliAsghar,
Golbidi Pejman,
Pourjafari Marzieh,
Abdollahimajd Fahimeh,
Azimi Hamideh,
Banihashemi Mahnaz,
Darvish Damavandi Farshid,
Erfani Abdol Reza,
Farajzadeh Saeedeh,
Ghassemi Mohammadreza,
Gheisari Mehdi,
Hamedpour Khalilollah,
Handjani Farhad,
Hashemi Seyed Ali,
Herizchi Hamideh,
Iraji Fariba,
Jalili Homa,
Khatami Alireza,
Lajevardi Vahideh,
Mansouri Parvin,
Masjedi Heidar,
Mehrian Pedram,
Mohammadi Saman,
Mohebbi Azadeh,
Namazi Nastaran,
Nasiri Kashani Mansour,
Radmehr Afsaneh,
Safar Farid,
Saffarian Zahra,
Saneei Sara,
Seirafi Hassan,
Taheri Soheila,
Yazdanpanah Mohammad Javad,
Zaboli Nejad Naghmeh,
Naseri Mahsa,
Peiravi Parisa,
Teymori Gholamreza
Publication year - 2018
Publication title -
dermatologic therapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.595
H-Index - 68
eISSN - 1529-8019
pISSN - 1396-0296
DOI - 10.1111/dth.12796
Subject(s) - medicine , erythrocyte sedimentation rate , guideline , chronic urticaria , quartile , cross sectional study , etiology , dermatology , pediatrics , confidence interval , pathology
Recently, advances in understanding the etiology of urticaria and updates of diagnostic and therapeutic management guidelines have drawn attention to chronic urticaria (CU) morbidity. The present study aimed to evaluate Iranian dermatologists' practice and real life management of CU patients. A total of 35 dermatologists and 443 patients were included in the study. Number of female patients was 321 (72.5%). Mean (standard deviation) age of the study patients was 38 (13) years and the median (inter quartile range) of disease duration was 12 (6–48) months. Severity of patients' symptoms was mild for 32.1%, moderate for 38.7%, severe for 18.8%, and 10.4% of them had no evident signs or symptoms. The most common diagnostic methods were physical examination (96.6%), differential blood count (83.5%), erythrocyte sedimentation rate (77.4%), and C‐reactive protein (62.8%). The number of dermatologists prescribed nonsedating antihistamines (nsAH) in regular dose and high dose mono therapy were 26 (74%) and 6 (17%), respectively. About 66% of dermatologists were familiar with British Association of Dermatologists (BAD) guideline. The most common first‐line treatment for CU by Iranian dermatologists was nonsedating antihistamines in regular or high doses. The real‐life management of patients with CU in Iran was in accordance with the available practice guidelines.