Abstrakt

Background: Chronic idiopathic urticaria (CIU) is common in allergological practice. Although therapeutic options have improved in the past decade, patients still suffer from a significant burden of disease and are often treated insufficiently.
Objective: We aimed at analyzing the psychiatric comorbidities, social impairments, and treatment gap in a real-world setting.
Materials and methods: Adult patients with CIU were investigated for demographical data, medical history, and psychosocial burden. Validated questionnaires were used to assess urticaria activity, control of disease, quality-of-life impairment, and psychiatric comorbidities. Results: 82 patients (78% female; 47.5 ± 14.8 years) were included. 65.9% had insufficient disease control, 11% reported on prior self-medication with drugs, 19.5% were seeking help from non-academic medicine, and 54.9% tried a change of diet. The use of non-academic treatment was significantly associated with higher disease activity. Self-initiated dietary changes were significantly associated with less control of disease. Delayed referrals to a urticaria-specialized center were significantly linked to self-reported psychiatric diseases, self-medication with drugs, and self-initiated dietary changes.
Conclusion: Our data show an unsatisfactory control of CIU in many patients and substantial psychosocial impairments which are also associated with a delayed referral to urticaria centers, self-initiated non-academic treatments, and dietary changes.

Autoreninformation

Autoren

• J. Zarnowski¹
• P. Kage^{1, 2}
• R. Treudler^{1, 3}

Abteilungen

• ¹ Universitätsklinikum Leipzig, Klinik für Dermatologie, Venerologie und Allergologie, Leipzig,
• ² Hautarztpraxis, Freiberg,
• ³ Institut für Allergieforschung, Charité – Universitätsmedizin Berlin, Corporate Member der Freien Universität Berlin und Humboldt-Universität zu Berlin, Berlin

Adresse

Dr. med. Julia Zarnowski
Klinik für Dermatologie, Venerologie und
Allergologie
Universitätsklinikum Leipzig A.ö.R.
Philipp-Rosenthal-Straße 69
04103 Leipzig
Email: [email protected]

Log in for Subscribers

Citation