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Real Life Management of Chronic Urticaria: Multicenter and Cross Sectional Study on Patients and Dermatologists in Iran Publisher Pubmed



Firooz A1 ; Akhlaghi A2 ; Golbidi P3 ; Pourjafari M3 ; Abdollahimajd F4 ; Azimi H5 ; Banihashemi M6 ; Darvish Damavandi F7 ; Erfani AR8 ; Farajzadeh S9 ; Ghassemi M10 ; Gheisari M4 ; Hamedpour K11 ; Handjani F12 Show All Authors
Authors
  1. Firooz A1
  2. Akhlaghi A2
  3. Golbidi P3
  4. Pourjafari M3
  5. Abdollahimajd F4
  6. Azimi H5
  7. Banihashemi M6
  8. Darvish Damavandi F7
  9. Erfani AR8
  10. Farajzadeh S9
  11. Ghassemi M10
  12. Gheisari M4
  13. Hamedpour K11
  14. Handjani F12
  15. Hashemi SA13
  16. Herizchi H14
  17. Iraji F15
  18. Jalili H16
  19. Khatami A1
  20. Lajevardi V17
  21. Mansouri P18
  22. Masjedi H19
  23. Mehrian P20
  24. Mohammadi S21
  25. Mohebbi A22
  26. Namazi N23
  27. Nasiri Kashani M1
  28. Radmehr A24
  29. Safar F25
  30. Saffarian Z26
  31. Saneei S24
  32. Seirafi H27
  33. Taheri S28
  34. Yazdanpanah MJ29
  35. Zaboli Nejad N30
  36. Naseri M31
  37. Peiravi P32
  38. Teymori G33
Show Affiliations
Authors Affiliations
  1. 1. Center for Research and Training in Skin Diseases and Leprosy, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Department of Epidemiology and Reproductive Health, Reproductive Epidemiology Research Center, Royan Institute for Reproductive Biomedicine, ACECR, Tehran, Iran
  3. 3. Iran Sanofi, Tehran, Iran
  4. 4. Skin Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  5. 5. Atieh Building, Azadi Street, Tabriz, Iran
  6. 6. Department of Dermatology, Mashhad University of Medical Sciences, Mashhad, Iran
  7. 7. Madar Building, Jahad Boulevard, Kerman, Iran
  8. 8. 135 Unit, Goldis Building, Amadgah Street, Isfahan, Iran
  9. 9. Department of Dermatology, Afzalipoor Hospital, Kerman University of Medical Science, Kerman, Iran
  10. 10. Rasoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran
  11. 11. Unit 403, 4th Floor, Shiraz Building, Zand Street, Shiraz, Iran
  12. 12. Molecular Dermatology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
  13. 13. Sadaf Clinic, Roudbar Building, East Roudbar Street, Mirdamad Boulevard, Shariati Street, Tehran, Iran
  14. 14. No 16, Golgasht Street, Tabriz, Iran
  15. 15. Isfahan University of Medical Sciences, Isfahan, Iran
  16. 16. No 20, Parastar 1 Street, Ahmadabad, Mashad, Iran
  17. 17. Razi Hospital, Tehran, Iran
  18. 18. Skin and Stem Cell Research Center, Tehran University of Medical Sciences, Tehran, Iran
  19. 19. The National Research Institute of TB and Lung Diseases, Masih Daneshvari Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  20. 20. Damanafshar Alley, Valiasr Street, Tehran, Iran
  21. 21. Afzalipour Hospital, Kerman, Iran
  22. 22. Dermatology Ward, Kerman University of Medical Sciences, Afzalipour Hospital, Kerman, Iran
  23. 23. Loghman Hospital, Tehran, Iran
  24. 24. Department of Dermatology, Sina Hospital, Tabriz University of Medical Sciences, Tabriz, Iran
  25. 25. 1266 Building, Valiasr Street, Tehran, Iran
  26. 26. Department of Dermatology, Imam Khomeini Hospital Complex, Tehran University of Medical Science, Tehran, Iran
  27. 27. Department of Dermatology, Tehran University of Medical Sciences, Razi Hospital, Tehran, Iran
  28. 28. Yas Dermatology and Laser Clinic, West Hashtbehesht Street, Fadak Building, Isfahan, Iran
  29. 29. Department of Dermatology, Cutaneous Leishmaniasis Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
  30. 30. Department of Dermatology, Cutaneous Leishmaniasis Research Center, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
  31. 31. Rooyan Dermatology & Hair Transplantation Clinic, Zargari Bridge, Khabarnegar Street, Shiraz, Iran
  32. 32. Fars Building, Zand Street, Shiraz, Iran
  33. 33. Farabi Building, Shamsabad Street, Isfahan, Iran

Source: Dermatologic Therapy Published:2019


Abstract

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. © 2018 Wiley Periodicals, Inc.