Chronic urticaria and thyroid pathology

Autor: Mario Sánchez-Borges, Sandra Nora González-Díaz, José Ignacio Canseco-Villarreal, Rosa Ivett Guzman-Avilan, Alfredo Arias-Cruz, Diana Maria Rangel-Gonzalez
Rok vydání: 2018
Předmět:
Urticaria
Graves' disease
medicine.medical_treatment
Levothyroxine
AD
autoimmune diseases

Autoimmunity
Immunoglobulin E
0302 clinical medicine
immune system diseases
TG
thyroglobulin

AAbs
autoantibodies

Immunology and Allergy
IL
Interleukin

TNF-α
tumor necrosis factor alpha

030223 otorhinolaryngology
skin and connective tissue diseases
biology
TGAbs
anti-thyroglobulin antibodies

AMA
antithyroid microsomal antibody

IgG
Immunoglobulin G

GD
Graves' disease

Thyroid disease
CU
chronic urticaria

Chronic urticaria
BAT
basophil activation test

VEGF
vascular endothelial growth factor

Anti-thyroid autoantibodies
TSH
thyroid stimulating hormone

medicine.symptom
ASST
autologous serum skin test

medicine.drug
Histamine
Pulmonary and Respiratory Medicine
lcsh:Immunologic diseases. Allergy
medicine.medical_specialty
Immunology
FcεRIa
high affinity IgE receptor

TSHR
thyroid stimulating hormone receptor

Article
TLR
Toll-like receptors

03 medical and health sciences
ICU
inducible chronic urticaria

PAMPs
pathogen-associated molecular patterns

T4L
free thyroxine

medicine
IFN-γ
gamma interferon

NSAH
non-sedating antihistamines

PAF
platelet activating factor

Angioedema
business.industry
Autoantibody
AE
angioedema

HT
Hashimoto's thyroiditis/autoimmune thyroiditis

CSU
chronic spontaneous urticaria

medicine.disease
Dermatology
TPOAbs
anti-thyroid peroxidase antibodies

ATD
autoimmune thyroid disease

Treg
regulatory T cells

IgE
Immunoglobulin E

UAS
urticaria activity score

030228 respiratory system
CAU
chronic autoimmune urticaria

DAMPs
damage-associated molecular patterns

biology.protein
Thyroglobulin
business
lcsh:RC581-607
ATAbs
anti-thyroid autoantibodies
Zdroj: The World Allergy Organization Journal
World Allergy Organization Journal, Vol 13, Iss 3, Pp-(2020)
ISSN: 1939-4551
Popis: Urticaria is defined as the sudden appearance of erythematous, itchy wheals of variable size, with or without angioedema (AE) (swelling of the deeper layers of the skin). Its classification depends on time course of symptoms and the presence of eliciting factors. When it lasts less than 6 weeks it is classified as acute urticaria (AU), and if the symptoms persist for more than 6 weeks, it is classified as chronic urticaria (CU). Current International Guidelines also classify CU as chronic spontaneous urticaria (CSU) and inducible urticarial, according to the absence or presence of environmental triggering factors. CSU is defined as urticaria and/or angioedema in which there is no evidence of a specific eliciting factor. CSU is associated with autoimmunity in 30–45% of the cases, sharing some immunological mechanisms with other autoimmune diseases, and is associated with autoimmune thyroid disease (ATD) in about 4.3%–57.4% patients. Several studies suggest that adequate therapy with anti-thyroid drugs or levothyroxine in early stages of ATD and CSU, may help to remit the latter; but there is still a lack of double-blind, placebo-controlled studies that support this hypothesis in patients without abnormal thyroid hormone levels. The objective of this review is to describe the pathophysiology of chronic spontaneous urticaria and its association with autoimmune thyroid disease. Keywords: Autoimmunity, Chronic urticaria, Histamine, Levothyroxine, Urticaria, Thyroid disease
Databáze: OpenAIRE