Effects of pregnancy on chronic urticaria: Results of the PREG-CU UCARE study

dc.contributor.authorKocatürk, Emek
dc.contributor.authorAl- Ahmad, Mona
dc.contributor.authorKrause, Karoline
dc.contributor.authorGimenez- Arnau, Ana M.
dc.contributor.authorThomsen, Simon Francis
dc.contributor.authorConlon, Niall
dc.contributor.authorMarsland, Alexander
dc.contributor.authorAteş, Can
dc.date.accessioned2021-07-05T06:36:56Z
dc.date.available2021-07-05T06:36:56Z
dc.date.issued2021
dc.departmentTıp Fakültesi
dc.description*Ateş, Can ( Aksaray, Yazar )
dc.description.abstractSciVal Topics Funding details Abstract Background: Chronic urticaria (CU) predominantly affects women, and sex hormones can modulate disease activity in female CU patients. As of now, the impact of pregnancy on CU is largely unknown. Aim: To analyze the course and features of CU during and after pregnancy. Patients and methods: PREG-CU is an international, multicenter study of the Urticaria Centers of Reference and Excellence (UCARE) network. Data were collected via a 47-item questionnaire completed by CU patients, who became pregnant within the last 3 years. Results: A total of 288 pregnancies of 288 CU patients from 13 countries were analyzed (mean age at pregnancy: 32.1 ± 6.1 years, duration of CU: 84.9 ± 74.5 months; CSU 66.9%, CSU + CIndU 20.3%, CIndU 12.8%).During pregnancy, 51.1% of patients rated their CU as improved, 28.9% as worse, and 20.0% as unchanged.CU exacerbations most commonly occurred exclusively during the third trimester (in 34 of 124 patients; 27.6%) or the first (28 of 124; 22.8%). The risk factors for worsening of CU during pregnancy were having mild disease and no angioedema before pregnancy, not taking treatment before pregnancy, CIndU, CU worsening during a previous pregnancy, treatment during pregnancy, and stress as a driver of exacerbations. After giving birth, urticaria disease activity remained unchanged in 43.8% of CU patients, whereas 37.4% and 18.1% experienced worsening and improvement, respectively. Conclusions: These results demonstrate the complex impact of pregnancy on the course of CU and help to better counsel patients who want to become pregnant and to manage CU during pregnancy.
dc.identifier.doi10.1111/all.14950
dc.identifier.endpage-en_US
dc.identifier.issn0105-4538
dc.identifier.issue-en_US
dc.identifier.pmid34022061
dc.identifier.scopusqualityQ1
dc.identifier.startpage-en_US
dc.identifier.urihttps:/dx.doi.org/10.1111/all.14950
dc.identifier.urihttps://hdl.handle.net/20.500.12451/8305
dc.identifier.volume-en_US
dc.identifier.wosWOS:000660479300001
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherBlackwell Publishing Ltd
dc.relation.ispartofAllergy: European Journal of Allergy and Clinical Immunology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectBreastfeeding
dc.subjectDisease Activity
dc.subjectHormones
dc.subjectPregnancy
dc.subjectUrticaria
dc.titleEffects of pregnancy on chronic urticaria: Results of the PREG-CU UCARE study
dc.typeArticle

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