The Efficacy of Autologous Plasma Therapy in Patients with Chronic Urticaria

Background: Chronic urticaria is an allergic skin disease characterized by severe pruritic wheal persisting at least for 6 weeks. This study aimed to evaluate the efficacy of plasma therapy used for the first time for the treatment of idiopathic chronic urticaria. Materials and Methods: In this case series study, the quality of life (QOL) of 30 patients with idiopathic chronic urticaria (autoimmune and spontaneous) referred to allergy clinic was evaluated before and after autologous plasma therapy by using standard questionnaires (DLQI and TSS). Results: The findings showed that the means of DLQI and TSS scores in the patients after plasma therapy was significantly reduced. The findings showed that the means of TSS scores in the patients after plasma therapy was significantly reduced (p<0/001). Moreover, it was found that plasma therapy was significantly effective patients with idiopathic chronic urticaria (autoimmune and spontaneous) by using standard questionnaires (TSS)(p=0.001). The findings showed that the means of DLQI scores in the patients after plasma therapy was significantly reduced (p=<0.001) means of DLQI scores in the women in contrast to men after plasma therapy was significantly reduced ( p=0.04) .This indicates that the improvement of the QOL in the patients. Moreover, it was found that plasma therapy was significantly effective in both sexes. Conclusion: The results of the present study suggest that autologous plasma therapy could be a suitable method for the treatment of patients with idiopathic chronic urticaria.

[1]  S. Alyasin,et al.  The Effect of Autologous Serum Therapy on Disease Severity in Patients with Chronic Urticaria. , 2016, Iranian journal of allergy, asthma, and immunology.

[2]  Michihiro Hide,et al.  The EAACI/GA 2 LEN/EDF/WAO Guideline for the definition, classification, diagnosis, and management of urticaria: the 2013 revision and update , 2015 .

[3]  P. Greenberger Chronic urticaria: new management options , 2014, The World Allergy Organization journal.

[4]  A. Ostovar,et al.  EVALUATION OF THE FREQUENCY OF FOOD AND AEROALLERGENS IN PATIENTS WITH ECZEMA AND URTICARIA IN PROVINCE OF BUSHEHR: BASED ON SKIN PRICK TEST REACTIVITY , 2014 .

[5]  T. Zuberbier,et al.  The EAACI/GA(2) LEN/EDF/WAO Guideline for the definition, classification, diagnosis, and management of urticaria: the 2013 revision and update. , 2014, Allergy.

[6]  J. Sheikh,et al.  The diagnosis and management of acute and chronic urticaria: 2014 update. , 2014, The Journal of allergy and clinical immunology.

[7]  D. Dorward,et al.  Middleton’s Allergy: Principles and Practice , 2013 .

[8]  S. Çinar,et al.  Autologous Serum Skin Test versus Autologous Plasma Skin Test in Patients with Chronic Spontaneous Urticaria , 2013, Dermatology research and practice.

[9]  K. Godse,et al.  Autologous Serum Therapy in Chronic Urticaria , 2013, Indian journal of dermatology.

[10]  T. Zuberbier,et al.  Diagnosis and Treatment of Urticaria and Angioedema: A Worldwide Perspective , 2012, The World Allergy Organization journal.

[11]  M. Abdallah,et al.  Autologous serum injection versus autologous blood in the treatment of chronic autoreactive urticaria , 2012 .

[12]  Li Cheng-xin,et al.  EAACI/GA2LEN/EDF/WAO Guideline:Management of Urticaria , 2010 .

[13]  H. Schünemann,et al.  EAACI/GA²LEN/EDF/WAO guideline: management of urticaria , 2009, Allergy.

[14]  B. Kelly,et al.  Urticaria , 2009, American journal of clinical dermatology.

[15]  M. Ferrer Epidemiology, healthcare, resources, use and clinical features of different types of urticaria. Alergológica 2005. , 2009, Journal of investigational allergology & clinical immunology.

[16]  A. Upadhyay,et al.  Autologous serum therapy in chronic urticaria: old wine in a new bottle. , 2008, Indian journal of dermatology, venereology and leprology.

[17]  R. Lüdtke,et al.  Autologous Whole Blood Injections to Patients with Chronic Urticaria and a Positive Autologous Serum Skin Test: A Placebo-Controlled Trial , 2006, Dermatology.

[18]  P. Auquier,et al.  Comparative study of the impact of chronic urticaria, psoriasis and atopic dermatitis on the quality of life , 2005, The British journal of dermatology.

[19]  M. Clerici,et al.  Immune Profiles of Patients with Chronic Idiopathic Urticaria , 2002, International Archives of Allergy and Immunology.

[20]  R. Herrera-Esparza,et al.  Anti‐Idiotype Antibodies Neutralize In vivo the Blistering Effect of Pemphigus foliaceus IgG , 2001, Scandinavian journal of immunology.

[21]  M. Greaves Chronic urticaria in childhood , 2000, Allergy.

[22]  Grattan,et al.  The autologous serum skin test: a screening test for autoantibodies in chronic idiopathic urticaria , 1999, The British journal of dermatology.

[23]  P. Seed,et al.  Chronic idiopathic urticaria: Comparison of the clinical features of patients with and without anti-FcϵRI or anti-IgE autoantibodies , 1999 .

[24]  M. Morgan,et al.  The impact of chronic urticaria on the quality of life , 1997, The British journal of dermatology.

[25]  P. Ward,et al.  C5 chemotactic fragments produced by an enzyme in lysosomal granules of neutrophils. , 1970, Journal of immunology.