Real life management of chronic urticaria: Multicenter and cross sectional study on patients and dermatologists in Iran

Autor: Parvin Mansouri, Sara Saneei, Afsaneh Radmehr, Pejman Golbidi, Farid Safar, Farhad Handjani, Pedram Mehrian, Hamideh Azimi, Saman Mohammadi, Mahnaz Banihashemi, Khalilollah Hamedpour, Azadeh Mohebbi, Nastaran Namazi, Abdol Reza Erfani, Mohammadreza Ghassemi, Gholamreza Teymori, Fariba Iraji, Heidar Masjedi, Homa Jalili, Amir Akhlaghi, Seyed Ali Hashemi, Mansour Nasiri Kashani, Soheila Taheri, Naghmeh Zaboli Nejad, Alireza Khatami, Mahsa Naseri, Hassan Seirafi, Mehdi Gheisari, Marzieh Pourjafari, Parisa Peiravi, Vahideh Lajevardi, Farshid Darvish Damavandi, Hamideh Herizchi, Alireza Firooz, Fahimeh Abdollahimajd, Mohammad Javad Yazdanpanah, Saeedeh Farajzadeh, Zahra Saffarian
Rok vydání: 2018
Předmět:
Zdroj: Dermatologic therapy. 32(2)
ISSN: 1529-8019
Popis: 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.
Databáze: OpenAIRE