Anisakis simplex sensitization-associated urticaria: short-lived immediate type or prolonged acute urticaria

Archives of Dermatological Research
A DaschnerF Vega

Abstract

Acute urticaria is defined as evanescent wheals with a duration period of up to 6 weeks. Yet within acute urticaria, IgE-mediated urticaria lasts rarely more than 48 h, whereas longer duration periods are frequently unfruitful with respect to diagnostic work-up. We hypothesize the differences in immunologic features in immediate type urticaria versus prolonged acute urticaria within the model of Anisakis simplex (A. simplex) sensitization-associated urticaria. We included 57 patients with gastro-allergic Anisakiasis (GAA) and urticaria duration of less than 48 h and 17 patients with A. simplex sensitization-associated prolonged acute urticaria (PROL), defined as urticaria duration between 3 days and 6 weeks. As control group served 23 patients with A. simplex sensitization-associated chronic urticaria (CU+). We compared total IgE as well as specific IgE, IgG and IgG(4) against A. simplex. Median total IgE was higher in GAA than in PROL or CU+ [442 (interquartile range, IQR 198-995) vs. 117 (68-261) or 251 (94-382) kU/l, respectively]. Median-specific IgE was higher in GAA than in PROL or CU+ [62 (IQR 24.1-99) vs. 12.3 (6-30.9) or 14.2 (6.2-44.9) kU/l, respectively]. The differences were statistically significant at P < 0.001 fo...Continue Reading

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Citations

Oct 26, 2012·International Archives of Allergy and Immunology·M T VenturaR Asero
Jan 6, 2012·Journal of Biomedicine & Biotechnology·Emilia Daniłowicz-LuebertSusanne Hartmann
Nov 15, 2011·Trends in Parasitology·Alvaro DaschnerMarta Rodero
May 20, 2015·Allergologia et immunopathologia·A DaschnerC Cuéllar
Feb 26, 2015·Clinical and Experimental Allergy : Journal of the British Society for Allergy and Clinical Immunology·R J PowellA T Clark
Jun 14, 2013·Journal of Allergy·Carmen CuéllarAlvaro Daschner
Jun 20, 2012·The Korean Journal of Parasitology·Bong Jin KimMeesun Ock
Feb 13, 2015·Anais Brasileiros De Dermatologia·Paulo Ricardo CriadoVitor Manoel Silva dos Reis

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